Richard James Wallace Jr, MD in Tyler, TX - Medicare Internal Medicine

Richard James Wallace Jr, MD is a medicare enrolled "Internal Medicine - Infectious Disease" physician in Tyler, Texas. His current practice location is 11937 Us Highway 271, Tyler, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 877-7777.

Richard James Wallace Jr is licensed to practice in Texas (license number D9705) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1083698609.

Contact Information

	Richard James Wallace Jr, MD
	11937 Us Highway 271, Tyler, TX 75708-3154
	(903) 877-7777
	Not Available

Map and Direction

Physician's Profile

Full Name	Richard James Wallace Jr
Gender	Male
Speciality	Internal Medicine - Infectious Disease
Location	11937 Us Highway 271, Tyler, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083698609
Provider Enumeration Date: 12/06/2005
Last Update Date: 10/21/2016

Medicare PECOS Information:

PECOS PAC ID: 0446390108
Enrollment ID: I20091211000031

Medical Identifiers

Medical identifiers for Richard James Wallace Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083698609	NPI	-	NPPES
100861704	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RI0200X	Internal Medicine - Infectious Disease	D9705 (Texas)	Primary

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. Richard James Wallace Jr allows following entities to bill medicare on his behalf.

Entity Name	University Of Texas Health Science Center At Tyler-facility-physician
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063400778 PECOS PAC ID: 4981699220 Enrollment ID: O20040416001048

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. Richard James Wallace Jr 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
Richard James Wallace Jr, MD Po Box 731912, Dallas, TX 75373-1912 Ph: (903) 877-7777	Richard James Wallace Jr, MD 11937 Us Highway 271, Tyler, TX 75708-3154 Ph: (903) 877-7777

Reviews and Comments

Internal Medicine Doctors in Tyler, TX

Ifeatu Uchenna Oti, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 1133 Medical Dr, Tyler, TX 75701 Phone: 903-595-5486 Fax: 903-595-5128
Preetham Reddy Muskula, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 2608 Mcdonald Rd, Tyler, TX 75701 Phone: 903-595-5514 Fax: 903-262-3715
Dr. Varalaxmi Bhavani Nannaka, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 912 S Fleishel Ave, Tyler, TX 75701 Phone: 903-592-6901
David A Brickey, DO Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 800 E Dawson St, Tyler, TX 75701 Phone: 903-525-1914
Randy Craig Randall, MD Infectious Disease Medicare: Medicare Enrolled Practice Location: 1783 Troup Highway, Tyler, TX 75701 Phone: 903-595-2283 Fax: 903-595-1063
Nabeel K Ahmed, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 1133 Medical Dr, Tyler, TX 75701 Phone: 903-595-5486 Fax: 903-595-5128
Dr. Amanda Nicole Long, D.O. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 619 S Fleishel Ave, Ste 327, Tyler, TX 75701 Phone: 903-510-1173

Richard James Wallace Jr, MD - Medicare Internal Medicine in Tyler, TX