Laurel Slough Wallace, DO in Midlothian, VA

Laurel Slough Wallace, DO is a medicare enrolled "Family Medicine" physician in Midlothian, Virginia. She went to Edward Via Col Of Osteo Medicine-virginia Campus and graduated in 2016 and has 8 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Bon Secours St Francis Medical Center Llc and her current practice location is 13540 Hull Street Rd, Midlothian, Virginia. You can reach out to her office (for appointments etc.) via phone at (804) 739-6142.

Laurel Slough Wallace is licensed to practice in North Carolina (license number 218358) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1225482946.

Contact Information

	Laurel Slough Wallace, DO
	13540 Hull Street Rd, Midlothian, VA 23112-2107
	(804) 739-6142
	Not Available

Map and Direction

Physician's Profile

Full Name	Laurel Slough Wallace
Gender	Female
Speciality	Family Practice
Experience	8 Years
Location	13540 Hull Street Rd, Midlothian, Virginia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Laurel Slough Wallace attended and graduated from Edward Via Col Of Osteo Medicine-virginia Campus in 2016

NPI Data:

NPI Number: 1225482946
Provider Enumeration Date: 04/19/2016
Last Update Date: 11/05/2021

Medicare PECOS Information:

PECOS PAC ID: 0042509523
Enrollment ID: I20220120002704

Medical Identifiers

Medical identifiers for Laurel Slough Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225482946	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	218358 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Bon Secours St Francis Medical Center	Midlothian, VA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Bon Secours St Francis Medical Center Llc	0648215418	29

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. Laurel Slough Wallace allows following entities to bill medicare on her behalf.

Entity Name	Bon Secours St Francis Medical Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356350391 PECOS PAC ID: 0648215418 Enrollment ID: O20050920000437

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. Laurel Slough 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 Address	Practice Location Address
Laurel Slough Wallace, DO 13540 Hull Street Rd, Midlothian, VA 23112-2107 Ph: (804) 739-6142	Laurel Slough Wallace, DO 13540 Hull Street Rd, Midlothian, VA 23112-2107 Ph: (804) 739-6142

Reviews and Comments

Family Medicine Doctors in Midlothian, VA

Thirosha Thirunavukarasu, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15769 Wc Main St, Midlothian, VA 23113 Phone: 804-794-5598
Dr. Gretchen D Lockard, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13911 St Francis Blvd Ste 101, Midlothian, VA 23114 Phone: 804-320-3999 Fax: 804-423-9929
John G. Barnes, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15769 Wc Main St, Midlothian, VA 23113 Phone: 804-419-9702 Fax: 804-378-9143
Saba Naz, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 13540 Hull Street Rd, St. Francis Family Medicine, Midlothian, VA 23112 Phone: 804-739-6142 Fax: 804-739-8923
Dr. Stephanie A. Crawford, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13540 Hull Street Rd, Midlothian, VA 23112 Phone: 804-739-6142
Dr. Thomas C Davies, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5802 Harbour Bluff Ter, Midlothian, VA 23112 Phone: 804-739-9841
Michaela Varys, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 13540 Hull Street Rd, Midlothian, VA 23112 Phone: 804-739-6142

Laurel Slough Wallace, DO - Medicare Family Practice in Midlothian, VA