Max Lee Wallace Jr, MD in New Britain, CT

Max Lee Wallace Jr, MD is a Radiology - Diagnostic Radiology physician based in New Britain, Connecticut. Max Lee Wallace Jr is licensed to practice in Connecticut (license number 023301) and his current practice location is 40 Hart St, Suite B1, New Britain, Connecticut. He can be reached at his office (for appointments etc.) via phone at (860) 229-2059.

NPI number for Max Lee Wallace Jr is 1588624282 and his current mailing address is 40 Hart St, Suite B1, New Britain, Connecticut. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1588624282.

Contact Information

	Max Lee Wallace Jr, MD
	40 Hart St, Suite B1, New Britain, CT 06052-1743
	(860) 229-2059
	(860) 229-8495

Map and Direction

Physician's Profile

Full Name	Max Lee Wallace Jr
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	40 Hart St, New Britain, Connecticut
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1588624282
Provider Enumeration Date: 03/25/2006
Last Update Date: 05/20/2008

Medical Identifiers

Medical identifiers for Max Lee Wallace Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588624282	NPI	-	NPPES
300117749	Other	CT	RAILROAD MEDICARE
010023301CT13	Other	CT	ANTHEM BC/BS
001233014	Medicaid	CT
010026126CT12	Other	CT	ANTHEM BC/BS
010026126CT03	Other	CT	ANTHEM BC/BS
010026126CT14	Other	CT	ANTHEM BC/BS
1588624282	Medicaid	CT
010026126CT04	Other	CT	ANTHEM BC/BS
010026126CT07	Other	CT	ANTHEM BC/BS
300023202	Other	CT	RAILROAD MEDICARE
300106345	Other	CT	RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	023301 (Connecticut)	Primary

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. Max Lee Wallace Jr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Max Lee Wallace Jr, MD 40 Hart St, Suite B1, New Britain, CT 06052-1743 Ph: (860) 229-2059	Max Lee Wallace Jr, MD 40 Hart St, Suite B1, New Britain, CT 06052-1743 Ph: (860) 229-2059

Reviews and Comments

Radiology Doctors in New Britain, CT

Wanda M Kirejczyk, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 Grand St, New Britain, CT 06052 Phone: 860-225-5556
Dr. Jason Mayo, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Liberty Sq, New Britain, CT 06051 Phone: 860-827-0071 Fax: 860-229-5642
Eric R Gorny, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 Grand St, New Britain, CT 06052 Phone: 860-224-5556
Alfred G Gladstone, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 Grand St, New Britain, CT 06050 Phone: 860-224-5556
Bennett J Kashdan, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 100 Grand St, New Britain, CT 06052 Phone: 860-224-5556
Joel Gelber, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 Grand St, New Britain, CT 06052 Phone: 860-224-5556
Sidney Ulreich, MD Radiology Medicare: Medicare Enrolled Practice Location: 100 Grand St, New Britain, CT 06052 Phone: 860-224-5556

Max Lee Wallace Jr, MD - Radiology in New Britain, CT