Mr Richard Jeremy Wallace, PA-C in Williston, SC

Mr Richard Jeremy Wallace, PA-C is a medicare enrolled "Physician Assistant" in Williston, South Carolina. His current practice location is 13649 Church Street, Williston, South Carolina. You can reach out to his office (for appointments etc.) via phone at (803) 266-0060.

Mr Richard Jeremy Wallace is licensed to practice in * (Not Available) (license number ) 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 1841583788.

Contact Information

	Mr Richard Jeremy Wallace, PA-C
	13649 Church Street, Williston, SC 29853
	(803) 266-0060
	(803) 266-0042

Map and Direction

Provider's Profile

Full Name	Mr Richard Jeremy Wallace
Gender	Male
Speciality
Experience	Years
Location	13649 Church Street, Williston, South 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:

Mr Richard Jeremy Wallace attended and graduated from in

NPI Data:

NPI Number: 1841583788
Provider Enumeration Date: 05/25/2011
Last Update Date: 01/11/2024

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Mr Richard Jeremy Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841583788	NPI	-	NPPES
2920	Other	SC	MEDICAL LICENSE
SCE705	Other	SC	MEDICARE
3559PA	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(* (Not Available))	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. Mr Richard Jeremy 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
Mr Richard Jeremy Wallace, PA-C 86 Wren St, Barnwell, SC 29812-1529 Ph: (803) 259-5762	Mr Richard Jeremy Wallace, PA-C 13649 Church Street, Williston, SC 29853 Ph: (803) 266-0060

Reviews and Comments

Physician Assistant Nurses in Williston, SC

Vickie Glover, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13649 Church Street, Williston, SC 29853 Phone: 803-266-0060 Fax: 803-266-0042
Gabryel Santos, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 13649 Church St, Williston, SC 29853 Phone: 803-266-0060

Mr Richard Jeremy Wallace, PA-C - Medicare in Williston, SC