| Lucy Brooks Wallace, MD | |
|
3410 Worth St Ste 160, Dallas, TX 75246-2092 | |
| (214) 826-9797 | |
| (972) 996-0465 |
| Full Name | Lucy Brooks Wallace |
|---|---|
| Gender | Female |
| Speciality | Surgical Oncology |
| Experience | 20 Years |
| Location | 3410 Worth St Ste 160, Dallas, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770787566 | NPI | - | NPPES |
| 003193207A | Medicaid | GA |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baylor University Medical Center | Dallas, TX | Hospital |
| Baylor Scott And White Medical Center Uptown | Dallas, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Texas Oncology Pa | 5395658934 | 957 |
| Entity Name | Texas Oncology Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811944101 PECOS PAC ID: 5395658934 Enrollment ID: O20031124000323 |
| Entity Name | Healthtexas Provider Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760488936 PECOS PAC ID: 1355254210 Enrollment ID: O20040727001187 |
| Mailing Address | Practice Location Address |
|---|---|
| Lucy Brooks Wallace, MD Po Box 911230, Dallas, TX 75391-1230 Ph: (972) 997-8000 | Lucy Brooks Wallace, MD 3410 Worth St Ste 160, Dallas, TX 75246-2092 Ph: (214) 826-9797 |
Cassidy Ann Gafford, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 8210 Walnut Hill Ln Ste 505, Dallas, TX 75231 Phone: 214-345-4160 Fax: 214-345-4165 | |
Brett D Arnoldo, MD Surgery Medicare: Medicare Enrolled Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-648-3067 | |
Dr. Gail S Lebovic, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 12200 Preston Rd, Dallas, TX 75230 Phone: 972-560-2667 | |
Dr. Russell C Lam, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 8210 Walnut Hill Ln Ste 505, Dallas, TX 75231 Phone: 214-345-4160 Fax: 214-345-4165 | |
Dr. Brian Ezekian, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 7777 Forest Ln Ste C240, Dallas, TX 75230 Phone: 972-566-7000 | |
Nirmal Samuel Jayaseelan, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 11970 N Central Expy Ste 670, Dallas, TX 75243 Phone: 972-331-1111 Fax: 972-331-1112 | |
Dr. Mirza Shadman Baig, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2001 Inwood Rd, 5th Fl, West Campus Bldg 3, Dallas, TX 75390 Phone: 214-645-0538 Fax: 214-645-0536 |