Dr Richard Austin Wallace, MD - Otolaryngology in Charleston, WV

Dr Richard Austin Wallace, MD is a Otolaryngology - Otology & Neurotology physician based in Charleston, West Virginia. Dr Richard Austin Wallace is licensed to practice in West Virginia (license number WV11648) and his current practice location is 1306 Kanawha Blvd E, Charleston, West Virginia. He can be reached at his office (for appointments etc.) via phone at (304) 343-4371.

NPI number for Dr Richard Austin Wallace is 1013957034 and his current mailing address is 1306 Kanawha Blvd E, Charleston, West Virginia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1013957034.

Contact Information

Dr Richard Austin Wallace, MD
1306 Kanawha Blvd E,
Charleston, WV 25301-3001
(304) 343-4371
(304) 353-0215



Physician's Profile

Full NameDr Richard Austin Wallace
GenderMale
SpecialityOtolaryngology - Otology & Neurotology
Location1306 Kanawha Blvd E, Charleston, West Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1013957034
  • Provider Enumeration Date: 06/07/2006
  • Last Update Date: 12/12/2012

Medical Identifiers

Medical identifiers for Dr Richard Austin Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013957034NPI-NPPES
1013957034OtherWVNPI
010107500MedicaidWV

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207YX0901XOtolaryngology - Otology & Neurotology WV11648 (West Virginia)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 Richard Austin 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
Dr Richard Austin Wallace, MD
1306 Kanawha Blvd E,
Charleston, WV 25301-3001

Ph: (304) 343-4371
Dr Richard Austin Wallace, MD
1306 Kanawha Blvd E,
Charleston, WV 25301-3001

Ph: (304) 343-4371

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Otolaryngology Doctors in Charleston, WV

Carrie Marie Bush, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 830 Pennsylvania Ave, Suite 405, Charleston, WV 25302
Phone: 304-388-2980    Fax: 304-388-2981
Marcus Doddridge Shaffer, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 830 Pennsylvania Ave, Suite 302, Charleston, WV 25302
Phone: 304-388-2950    Fax: 304-388-2951
Mr. Phillip Todd Nichols, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 500 Donnally St, Suite 200, Charleston, WV 25301
Phone: 304-342-0124    Fax: 304-340-2204
Dr. David Richard Lough, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 500 Donnally St Ste 200, Charleston, WV 25301
Phone: 304-767-7830    Fax: 304-767-7829
Mr. Michael R Goins, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 1311 Virginia St. E, Suite 200, Charleston, WV 25301
Phone: 304-353-0200    Fax: 304-353-0337

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