Matthew Richard Wallace, RN - Registered Nurse in Lexington, KY

Matthew Richard Wallace, RN is a Registered Nurse - Psychiatric/mental Health based in Lexington, Kentucky. Matthew Richard Wallace is licensed to practice in Kentucky (license number 1173082) and his current practice location is 1000 S Limestone, Lexington, Kentucky. He can be reached at his office (for appointments etc.) via phone at (859) 562-7371.

NPI number for Matthew Richard Wallace is 1902611882 and his current mailing address is 2380 Lake Park Rd Apt 715, Lexington, Kentucky. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1902611882.

Contact Information

Matthew Richard Wallace, RN
1000 S Limestone,
Lexington, KY 40506-0007
(859) 562-7371
Not Available

Map and Direction




Provider's Profile

Full NameMatthew Richard Wallace
GenderMale
SpecialityRegistered Nurse - Psychiatric/mental Health
Location1000 S Limestone, Lexington, Kentucky
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1902611882
  • Provider Enumeration Date: 02/10/2025
  • Last Update Date: 02/10/2025

Medical Identifiers

Medical identifiers for Matthew Richard Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902611882NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WP0808XRegistered Nurse - Psychiatric/mental Health 1173082 (Kentucky)Primary

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. Matthew Richard Wallace is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Matthew Richard Wallace, RN
2380 Lake Park Rd Apt 715,
Lexington, KY 40502-6600

Ph: () -
Matthew Richard Wallace, RN
1000 S Limestone,
Lexington, KY 40506-0007

Ph: (859) 562-7371

Reviews and Comments


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