Lance T Wallace, MD - Medicare Internal Medicine in Dyer, IN

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Lance T Wallace, MD is a medicare enrolled "Internal Medicine" physician in Dyer, Indiana. He graduated from medical school in 1990 and has 36 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Specialty Physicians Of Illinois Llc and his current practice location is 2150 Gettler St Ste 400, Dyer, Indiana. You can reach out to his office (for appointments etc.) via phone at (219) 864-4970.

Lance T Wallace is licensed to practice in Indiana (license number 01095489A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1538100128.

Contact Information

Lance T Wallace, MD
2150 Gettler St Ste 400,
Dyer, IN 46311-2385
(219) 864-4970
(219) 864-4990

Map and Direction




Physician's Profile

Full NameLance T Wallace
GenderMale
SpecialityInternal Medicine
Experience36 Years
Location2150 Gettler St Ste 400, Dyer, Indiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lance T Wallace graduated from medical school in 1990
  NPI Data:
  • NPI Number: 1538100128
  • Provider Enumeration Date: 06/08/2006
  • Last Update Date: 07/15/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 3779473236
  • Enrollment ID: I20040318000094

Medical Identifiers

Medical identifiers for Lance T Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538100128NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 01095489A (Indiana)Primary
207R00000XInternal Medicine 036085478 (Illinois)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Prime Home Care - Olympia FieldsOlympia fields, ILHome health agency
Traditions HealthLisle, ILHospice
Olympia Fields HospitalOlympia fields, ILHospital
St James Wellness Rehab VillasCrete, ILNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Specialty Physicians Of Illinois Llc4183529456114

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Lance T Wallace allows following entities to bill medicare on his behalf.
Entity NameSpecialty Physicians of Illinois LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124075676
PECOS PAC ID: 4183529456
Enrollment ID: O20031201000602

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lance T Wallace is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lance T Wallace, MD
Po Box 781076,
Detroit, MI 48278-1076

Ph: (317) 528-4800		Lance T Wallace, MD
2150 Gettler St Ste 400,
Dyer, IN 46311-2385

Ph: (219) 864-4970

Reviews and Comments


Internal Medicine Doctors in Dyer, IN

Dr. Sumanth Mulamalla, MD
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Practice Location: 15900 W 101st Ave, Dyer, IN 46311
Phone: 219-365-6333    Fax: 219-365-8291
Jeannie Boram Ur, MD
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Practice Location: 24 Joliet St, Dyer, IN 46311
Phone: 219-852-1524    Fax: 219-933-2288
Eshwar Nagraj Murthy,
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Medicare: Accepting Medicare Assignments
Practice Location: 24 Joliet St, Dyer, IN 46311
Phone: 219-852-1524    Fax: 219-933-2288
Mohamad Kassar, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1001 Calumet Ave, Dyer, IN 46311
Phone: 219-924-8178    Fax: 219-924-8179
C Richard Smith, DO
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2150 Gettler St Ste 400, Dyer, IN 46311
Phone: 219-865-0893    Fax: 219-865-3599
Dr. Vladimir Selounski, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 24 Joliet St, Dyer, IN 46311
Phone: 219-852-1524    Fax: 219-933-2288
Marla Krukowski, DO
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2150 Gettler St Ste 415, Dyer, IN 46311
Phone: 219-864-7782    Fax: 219-864-7792

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.