| Waymon L Wallace, MD | |
|
1577 Goodman Ave Ste A, Cincinnati, OH 45224-1044 | |
| (513) 403-3762 | |
| (513) 521-6403 |
| Full Name | Waymon L Wallace |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 31 Years |
| Location | 1577 Goodman Ave Ste A, Cincinnati, Ohio |
| 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 |
|---|---|---|---|
| 1841213667 | NPI | - | NPPES |
| 2232177 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35076674 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tridia Hospice And Palliative Care | Columbus, OH | Hospice |
| Hospice Of Cincinnati, Inc | Cincinnati, OH | Hospice |
| Home At Taylor's Pointe | Cincinnati, OH | Nursing home |
| Veranda Gardens & Assisted Living | Cincinnati, OH | Nursing home |
| Entity Name | Wallace Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144527870 PECOS PAC ID: 2062695141 Enrollment ID: O20171024002033 |
| Mailing Address | Practice Location Address |
|---|---|
| Waymon L Wallace, MD Po Box 40535, Cincinnati, OH 45240-0535 Ph: (513) 403-3762 | Waymon L Wallace, MD 1577 Goodman Ave Ste A, Cincinnati, OH 45224-1044 Ph: (513) 403-3762 |
Moises Arturo Huaman Joo, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 234 Goodman Street, Cincinnati, OH 45219 Phone: 513-584-6977 Fax: 513-584-4281 | |
Dr. Kiranmayee Lanka, M.D., M.P.H Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2123 Auburn Ave, Suite 401, Cincinnati, OH 45219 Phone: 513-241-5489 Fax: 513-241-5490 | |
Dr. Saurabh Chandra, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 234 Goodman St, Cincinnati, OH 45219 Phone: 513-558-1000 | |
Chirag Thakor Patel, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3219 Clifton Ave Ste 330, Cincinnati, OH 45220 Phone: 513-853-9250 Fax: 513-281-1908 | |
Sorina M Macavei, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 463 Ohio Pike, Suite 300, Cincinnati, OH 45255 Phone: 513-528-5600 Fax: 513-528-9716 | |
Helen K Koselka, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 3219 Clifton Ave, Suite 100, Cincinnati, OH 45220 Phone: 513-528-5600 Fax: 513-528-9716 | |
Loren H Cohen, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4750 E Galbraith Rd Ste 103, Cincinnati, OH 45236 Phone: 513-791-2137 Fax: 513-791-2151 |