| Michael Taylor Wallace, MD | |
|
994 Drew Ln, Auburn, AL 36830-4302 | |
| (334) 364-3330 | |
| Not Available |
| Full Name | Michael Taylor Wallace |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 11 Years |
| Location | 994 Drew Ln, Auburn, Alabama |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376922948 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 41653 (Alabama) | Primary |
| 207W00000X | Ophthalmology | 59163 (Tennessee) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| East Alabama Medical Center And Snf | Opelika, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Eamc Eye Clinic Llc | 2567611031 | 3 |
| Entity Name | Imc-diagnostic And Medical Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447201066 PECOS PAC ID: 2860399623 Enrollment ID: O20031218000577 |
| Entity Name | Eamc Eye Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265143150 PECOS PAC ID: 2567611031 Enrollment ID: O20230220001425 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Taylor Wallace, MD 994 Drew Ln, Auburn, AL 36830-4302 Ph: (334) 364-3330 | Michael Taylor Wallace, MD 994 Drew Ln, Auburn, AL 36830-4302 Ph: (334) 364-3330 |
Stephen Hamilton, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 890 N Dean Rd Ste 300, Auburn, AL 36830 Phone: 334-364-3330 Fax: 334-364-3329 | |
Mr. Gregory John Sepanski, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 860 N Dean Rd, Auburn, AL 36830 Phone: 334-826-8246 Fax: 334-826-8746 |