Dr Marshall Lynn Wallace, DMD - Medicare Dentist in Sumter, SC

Dr Marshall Lynn Wallace, DMD is a medicare enrolled "Dentist - Periodontics" provider in Sumter, South Carolina. His current practice location is 3 Professional Ct, Sumter, South Carolina. You can reach out to his office (for appointments etc.) via phone at (803) 469-9461.

Dr Marshall Lynn Wallace is licensed to practice in South Carolina (license number 2839/363) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1124092697.

Contact Information

Dr Marshall Lynn Wallace, DMD
3 Professional Ct,
Sumter, SC 29150-1927
(803) 469-9461
(803) 469-9023



Healthcare Provider's Profile

Full NameDr Marshall Lynn Wallace
GenderMale
SpecialityDentist - Periodontics
Location3 Professional Ct, Sumter, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124092697
  • Provider Enumeration Date: 02/14/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 1850514977
  • Enrollment ID: I20140519000720

Medical Identifiers

Medical identifiers for Dr Marshall Lynn Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124092697NPI-NPPES
ZA9760MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223P0300XDentist - Periodontics 2839/363 (South Carolina)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. Dr Marshall Lynn 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 AddressPractice Location Address
Dr Marshall Lynn Wallace, DMD
3 Professional Ct,
Sumter, SC 29150-1927

Ph: (803) 469-9461
Dr Marshall Lynn Wallace, DMD
3 Professional Ct,
Sumter, SC 29150-1927

Ph: (803) 469-9461

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› Verified 3 days ago


Dentist in Sumter, SC

Dr. David M Vanpatten, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2590 Tahoe Drive, Sumter, SC 29150
Phone: 803-469-3555    Fax: 803-469-3515
Dr. Lisbeth W Poag, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 500 Physicians Ln, Sumter, SC 29150
Phone: 803-775-4793    Fax: 803-934-9943
Dr. William Neal Coulter, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2590 Lin Do Court, Sumter, SC 29150
Phone: 803-905-4321    Fax: 803-905-4325
Eddie C Durant Jr, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 852 W Liberty St, Sumter, SC 29150
Phone: 803-773-3328    Fax: 803-773-9601
Dr. Brian Timothy Bracken, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1121 Broad St, Sumter, SC 29150
Phone: 201-919-1950    
Dr. Richard Anthony Suarez-murias, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1121 Broad St, Sumter, SC 29150
Phone: 803-590-3040    

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