Dr Paul Michael Wallace, MD - Medicare Psychiatry & Neurology in Providence, RI

Dr Paul Michael Wallace, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Providence, Rhode Island. His current practice location is 528 N Main St, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 528-0123.

Dr Paul Michael Wallace is licensed to practice in Rhode Island (license number MD19363) 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 1265991335.

Contact Information

Dr Paul Michael Wallace, MD
528 N Main St,
Providence, RI 02904
(401) 528-0123
(401) 528-0124



Physician's Profile

Full NameDr Paul Michael Wallace
GenderMale
SpecialityPsychiatry & Neurology - Psychiatry
Location528 N Main St, Providence, Rhode Island
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1265991335
  • Provider Enumeration Date: 03/18/2019
  • Last Update Date: 10/10/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8628489218
  • Enrollment ID: I20231113000066

Medical Identifiers

Medical identifiers for Dr Paul Michael Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265991335NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry MD19363 (Rhode Island)Primary

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. Dr Paul Michael Wallace allows following entities to bill medicare on his behalf.
Entity NameThe Providence Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104847946
PECOS PAC ID: 9739080292
Enrollment ID: O20040116000840

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› Verified 1 days ago

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 Paul Michael 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 Paul Michael Wallace, MD
528 N Main St,
Providence, RI 02904

Ph: (401) 528-0123
Dr Paul Michael Wallace, MD
528 N Main St,
Providence, RI 02904

Ph: (401) 528-0123

News Archive

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Amyotrophic lateral sclerosis is a neurological condition that affects motor neurons - the nerve cells that control breathing and muscles.

BIO supports USMCA, appreciates Administration's efforts to prioritize biotechnology innovation

Biotechnology Innovation Organization President & CEO James C. Greenwood today issued the following statement on the United States-Mexico-Canada Agreement (USMCA):

Over 2 million children gain Medicaid or CHIP coverage during 2010

Two years after President Obama signed the Children's Health Insurance Program Reauthorization Act (CHIPRA), HHS Secretary Kathleen Sebelius today announced that more than two million more children were served by Medicaid or the Children's Health Insurance Program (CHIP) at some point over the past year.

Gamma Medica-Ideas signs exclusive license and commercialization agreement with Mayo Clinic

Gamma Medica-Ideas, Inc. ("GMI"), a leading developer of digital molecular imaging systems, announced today that it has signed an exclusive license and commercialization agreement with Mayo Clinic to further develop and commercialize a suite of technologies invented by a team of Mayo physicians and scientists, headed by Michael O'Connor, PhD.

Round-up: Mississippi struggles with mental health services funding cuts; A drug discount bill advances in Mass.

"Lawmakers earlier this year vigorously fought Gov. Haley Barbour's proposal to close four state mental health hospitals and six crisis centers as a budget-saving measure. Now, nonprofit-run centers that offer front-line services for the mentally ill in some of the poorest communities across Mississippi could face closure."

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› Verified 1 days ago


Psychiatry & Neurology Doctors in Providence, RI

Dr. Dana Siperstein, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 167 Point St, Providence, RI 02903
Phone: 401-793-8808    Fax: 401-793-8851
Giuseppe Salvatore D'amelio Iv, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 167 Point St, Providence, RI 02903
Phone: 401-793-8808    
Eugenie Atallah,
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-606-2645    Fax: 401-606-4386
Dr. Luisa Skoble, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-5448    Fax: 401-444-6119
Arnaldo A Berges, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy St, Jane Brown 5s, Providence, RI 02903
Phone: 401-444-5448    Fax: 401-444-6119
Sharath Ponnappa Puttichanda,
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 345 Blackstone Blvd, Providence, RI 02906
Phone: 401-455-6346    Fax: 401-455-6532
Loreen Phyllis Carol Pirnie, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-5448    

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