Lance T Wallace, MD - Medicare Internal Medicine in Matteson, IL

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Lance T Wallace, MD is a medicare enrolled "Internal Medicine" physician in Matteson, Illinois. He went to Southern Illinois University School Of Medicine and graduated in 1990 and has 34 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Legacy Healthcare Services Inc, Specialty Physicians Of Illinois Llc and his current practice location is 20939 S Cicero Ave, Matteson, Illinois. You can reach out to his office (for appointments etc.) via phone at (708) 709-9375.

Lance T Wallace is licensed to practice in Illinois (license number 036085478) 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
20939 S Cicero Ave,
Matteson, IL 60443-1620
(708) 709-9375
(708) 709-6353

Map and Direction




Physician's Profile

Full NameLance T Wallace
GenderMale
SpecialityInternal Medicine
Experience34 Years
Location20939 S Cicero Ave, Matteson, Illinois
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 attended and graduated from Southern Illinois University School Of Medicine in 1990
  NPI Data:
  • NPI Number: 1538100128
  • Provider Enumeration Date: 06/08/2006
  • Last Update Date: 03/15/2021
  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
IL5686032OtherILMEDICARE PTAN
036085478MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 036085478 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Spring Meadows Home Health Care, LlcNiles, ILHome health agency
Harbor Light HospiceGlen ellyn, ILHospice
Franciscan Health Olympia Fields & Chicago HeightsOlympia fields, ILHospital
Bria Of Chicago HeightsSouth chicago height, ILNursing home
St James Wellness Rehab VillasCrete, ILNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Legacy Healthcare Services Inc21633397222654
Specialty Physicians Of Illinois Llc4183529456105

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
Entity NameMonarch Hospice & Palliative Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538267703
PECOS PAC ID: 1456327444
Enrollment ID: O20200130000434

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
35318 Eagle Way,
Chicago, IL 60678-1353

Ph: (317) 865-8988		Lance T Wallace, MD
20939 S Cicero Ave,
Matteson, IL 60443-1620

Ph: (708) 709-9375

Reviews and Comments


Internal Medicine Doctors in Matteson, IL

Leonard Robinson, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 20939 S Cicero Ave, Matteson, IL 60443
Phone: 708-709-9375    Fax: 708-283-1137
Dorothy M Jones, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 20939 S Cicero Ave, Matteson, IL 60443
Phone: 708-679-2770    Fax: 708-283-1137
Dr. Gabrielle Eileen Mykoniatis, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 20939 S Cicero Ave, Matteson, IL 60443
Phone: 708-679-2770    Fax: 708-283-1137

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.