Scott Andrew Wallace, MD is a medicare enrolled "Preventive Medicine - Preventive Medicine/occupational Environmental Medicine" physician in Annapolis, Maryland. He graduated from medical school in 2012 and has 14 years of diverse experience with area of expertise as Preventive Medicine. His current practice location is
695 Kinkaid Rd, Annapolis, Maryland. You can reach out to his office (for appointments etc.) via phone at
(410) 320-0010.
Scott Andrew Wallace is licensed to practice in Maryland (license number D76451) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1275809899.
Physician's Profile
| Full Name | Scott Andrew Wallace |
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| Gender | Male |
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| Speciality | Preventive Medicine |
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| Experience | 14 Years |
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| Location | 695 Kinkaid Rd, Annapolis, Maryland |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Scott Andrew Wallace graduated from medical school in 2012
NPI Data:
- NPI Number: 1275809899
- Provider Enumeration Date: 03/28/2012
- Last Update Date: 07/01/2026
Medicare PECOS Information:
- PECOS PAC ID: 9335379957
- Enrollment ID: I20260124000397
Medical Identifiers
Medical identifiers for Scott Andrew Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1275809899 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2083A0100X | Preventive Medicine - Aerospace Medicine | D0076451 (Maryland) | Secondary |
| 2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | D76451 (Maryland) | 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. Scott Andrew Wallace allows following entities to bill medicare on his behalf.
| Entity Name | American Current Care PA |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780868547 PECOS PAC ID: 9739260019 Enrollment ID: O20100107000671 |
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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. Scott Andrew 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 Address | Practice Location Address |
Scott Andrew Wallace, MD 8901 Wisconsin Ave Bldg 85t, Bethesda, MD 20889-0004 Ph: (301) 295-0786 | Scott Andrew Wallace, MD 695 Kinkaid Rd, Annapolis, MD 21402-1006 Ph: (410) 320-0010 |
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