Sara Sheehan Wallace, MD - Medicare Pediatrics in West Columbia, SC

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Sara Sheehan Wallace, MD is a medicare enrolled "Pediatrics" physician in West Columbia, South Carolina. Her current practice location is 3240 Sunset Blvd, West Columbia, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 359-8855.

Sara Sheehan Wallace is licensed to practice in South Carolina (license number 35809) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1003255605.

Contact Information

Sara Sheehan Wallace, MD
3240 Sunset Blvd,
West Columbia, SC 29169-3428
(803) 359-8855
(803) 794-6480

Map and Direction




Physician's Profile

Full NameSara Sheehan Wallace
GenderFemale
SpecialityPediatrics
Location3240 Sunset Blvd, West Columbia, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003255605
  • Provider Enumeration Date: 06/18/2013
  • Last Update Date: 12/14/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 9931493806
  • Enrollment ID: I20160816001224

Medical Identifiers

Medical identifiers for Sara Sheehan Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003255605NPI-NPPES
358099MedicaidSC
35809OtherSCSC MEDICAL LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics LL35809 (South Carolina)Secondary
208000000XPediatrics 35809 (South Carolina)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. Sara Sheehan Wallace allows following entities to bill medicare on her behalf.
Entity NamePrisma Health University Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295763217
PECOS PAC ID: 8325950983
Enrollment ID: O20031103000238
Entity NameAnmed Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639102270
PECOS PAC ID: 1951215243
Enrollment ID: O20040130000302
Entity NamePrisma Health Medical Group-midlands
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275988321
PECOS PAC ID: 5991099707
Enrollment ID: O20160802001226
Entity NameLexington Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710634753
PECOS PAC ID: 2567872070
Enrollment ID: O20201208000922

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. Sara Sheehan 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 AddressPractice Location Address
Sara Sheehan Wallace, MD
Po Box 6069,
West Columbia, SC 29171-6069

Ph: (803) 359-8855		Sara Sheehan Wallace, MD
3240 Sunset Blvd,
West Columbia, SC 29169-3428

Ph: (803) 359-8855

Reviews and Comments


Pediatrics Doctors in West Columbia, SC

Amanda Lynn Goodno, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 500 N 12th St, West Columbia, SC 29169
Phone: 803-217-0415    Fax: 803-939-1650
Larry C Smith Ii, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 172 Mcswain Drive, Suite A, West Columbia, SC 29169
Phone: 800-809-1265    Fax: 803-771-7782
Dr. Sharada M Pai, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 209 Timber Ridge Dr, West Columbia, SC 29169
Phone: 803-794-5307    
Jonathan William Ceral Brock, MD, PHD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2318a Sunset Blvd, West Columbia, SC 29169
Phone: 803-796-9200    Fax: 803-462-0312
Ronnie W Neuberg, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 112 Saluda Ridge Ct Ste 200, West Columbia, SC 29169
Phone: 803-794-0200    Fax: 803-794-0404
Dr. Douglas E Luberoff, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3240 Sunset Blvd, West Columbia, SC 29169
Phone: 803-808-0523    Fax: 803-794-6503

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.