William E Wallace, DO is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Decatur, Texas. He graduated from medical school in 1990 and has 34 years of diverse experience with area of expertise as Critical Care (intensivists). He is a member of the group practice Phoebe Physician Group Inc and his current practice location is
2000 Ben Merritt Dr, Suite B, Decatur, Texas. You can reach out to his office (for appointments etc.) via phone at
(817) 380-6621.
William E Wallace is licensed to practice in Texas (license number F7282) 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 1225087562.
Physician's Profile
| Full Name | William E Wallace |
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| Gender | Male |
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| Speciality | Critical Care (intensivists) |
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| Experience | 34 Years |
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| Location | 2000 Ben Merritt Dr, Decatur, Texas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- William E Wallace graduated from medical school in 1990
NPI Data:
- NPI Number: 1225087562
- Provider Enumeration Date: 05/06/2006
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 9638198195
- Enrollment ID: I20210322002676
Medical Identifiers
Medical identifiers for William E Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225087562 | NPI | - | NPPES |
| 115246411 | Medicaid | TX | |
| 8GH312 | Other | TX | BCBSTX |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | F7282 (Texas) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | F7282 (Texas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Phoebe Physician Group Inc | 8426112350 | 342 |
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. William E Wallace allows following entities to bill medicare on his behalf.
| Entity Name | Phoebe Physician Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487899464
PECOS PAC ID: 8426112350
Enrollment ID: O20090121000583 |
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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. William E 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 |
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William E Wallace, DO
Po Box 2078,
Decatur, TX 76234-6156
Ph: (817) 380-6621 | William E Wallace, DO
2000 Ben Merritt Dr, Suite B,
Decatur, TX 76234-3848
Ph: (817) 380-6621 |
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