Wallace Clements Tarry, MD in Mooresville, NC

Wallace Clements Tarry, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Mooresville, North Carolina. He went to Duke University School Of Medicine and graduated in 1989 and has 35 years of diverse experience with area of expertise as Vascular Surgery. He is a member of the group practice Carolinas Physicians Network Inc and his current practice location is 146 Medical Park Rd, Ste 206, Mooresville, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 799-3939.

Wallace Clements Tarry is licensed to practice in North Carolina (license number 2002-00613) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1205804945.

Contact Information

	Wallace Clements Tarry, MD
	146 Medical Park Rd, Ste 206, Mooresville, NC 28117-8528
	(704) 799-3939
	Not Available

Map and Direction

Physician's Profile

Full Name	Wallace Clements Tarry
Gender	Male
Speciality	Vascular Surgery
Experience	35 Years
Location	146 Medical Park Rd, Mooresville, North Carolina
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Wallace Clements Tarry attended and graduated from Duke University School Of Medicine in 1989

NPI Data:

NPI Number: 1205804945
Provider Enumeration Date: 03/09/2006
Last Update Date: 12/19/2023

Medicare PECOS Information:

PECOS PAC ID: 7416845268
Enrollment ID: I20040304001159

Medical Identifiers

Medical identifiers for Wallace Clements Tarry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205804945	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	2002-00613 (North Carolina)	Secondary
2086S0129X	Surgery - Vascular Surgery	2002-00613 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Carolinas Medical Center-northeast	Concord, NC	Hospital
Lake Norman Regional Medical Center	Mooresville, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Carolinas Physicians Network Inc	3375449655	1613

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. Wallace Clements Tarry allows following entities to bill medicare on his behalf.

Entity Name	Carolinas Physicians Network Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477878890 PECOS PAC ID: 3375449655 Enrollment ID: O20031219000455

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. Wallace Clements Tarry 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
Wallace Clements Tarry, MD Po Box 19305, Charlotte, NC 28219-9305 Ph: () -	Wallace Clements Tarry, MD 146 Medical Park Rd, Ste 206, Mooresville, NC 28117-8528 Ph: (704) 799-3939

Reviews and Comments

Surgery Doctors in Mooresville, NC

Francis Michael Campbell, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 123 Professional Park Dr, Suite 101, Mooresville, NC 28117 Phone: 704-663-7905 Fax: 704-360-4954
Michelle Marie Bertsch, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 131 Medical Park Rd Ste 306, Mooresville, NC 28117 Phone: 704-660-2610 Fax: 704-660-2611
Timothy Ryan Heider, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 106 Alexander Bank Dr Ste 300, Mooresville, NC 28117 Phone: 704-660-4584 Fax: 704-660-4967
Dr. Matthew Jeffrey Johnson Jr., MD Surgery Medicare: Medicare Enrolled Practice Location: 229 Medical Park Rd Ste 300, Mooresville, NC 28117 Phone: 704-360-9995 Fax: 704-360-2221
Brendan M Marr, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 131 Medical Park Rd Ste 303, Mooresville, NC 28117 Phone: 704-660-4584 Fax: 704-660-4967
Dr. Creighton D Fiscina, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 106 Alexander Bank Dr Ste 300, Mooresville, NC 28117 Phone: 704-660-4584 Fax: 704-660-4967

Wallace Clements Tarry, MD - Medicare Vascular Surgery in Mooresville, NC