Dr Robert D Wallace, MD - Medicare Plastic And Reconstructive Surgery in Memphis, TN

Dr Robert D Wallace, MD is a medicare enrolled "Surgery - Plastic And Reconstructive Surgery" physician in Memphis, Tennessee. He went to Jefferson Medical College Of Thomas Jefferson University and graduated in 1984 and has 40 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. He is a member of the group practice Wallace Plastic Surgery Group, Pllc and his current practice location is 1068 Cresthaven Rd Ste 500, Memphis, Tennessee. You can reach out to his office (for appointments etc.) via phone at (901) 866-8525.

Dr Robert D Wallace is licensed to practice in Tennessee (license number 27658) 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 1023075637.

Contact Information

Dr Robert D Wallace, MD
1068 Cresthaven Rd Ste 500,
Memphis, TN 38119
(901) 866-8525
Not Available



Physician's Profile

Full NameDr Robert D Wallace
GenderMale
SpecialityPlastic And Reconstructive Surgery
Experience40 Years
Location1068 Cresthaven Rd Ste 500, Memphis, Tennessee
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Robert D Wallace attended and graduated from Jefferson Medical College Of Thomas Jefferson University in 1984
  NPI Data:
  • NPI Number: 1023075637
  • Provider Enumeration Date: 04/27/2006
  • Last Update Date: 02/01/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 6608068234
  • Enrollment ID: I20101014000191

Medical Identifiers

Medical identifiers for Dr Robert D Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023075637NPI-NPPES
130322001MedicaidAR
00118676MedicaidMS
3804973MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0122XSurgery - Plastic And Reconstructive Surgery 27658 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baptist Memorial HospitalMemphis, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wallace Plastic Surgery Group, Pllc07496640762

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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 Robert D Wallace allows following entities to bill medicare on his behalf.
Entity NameUt Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780676650
PECOS PAC ID: 3173435369
Enrollment ID: O20031105000384

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Entity NameSt Jude Childrens Research Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306335088
PECOS PAC ID: 7315133444
Enrollment ID: O20180821000139

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Entity NameWallace Plastic Surgery Group, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497473557
PECOS PAC ID: 0749664076
Enrollment ID: O20220905000477

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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 Robert D 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 Robert D Wallace, MD
1407 Union Ave Ste 700,
Memphis, TN 38104-3641

Ph: (901) 866-8622
Dr Robert D Wallace, MD
1068 Cresthaven Rd Ste 500,
Memphis, TN 38119

Ph: (901) 866-8525

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Surgery Doctors in Memphis, TN

Leonard Harvey Hines, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 6005 Park Ave, Suite 821-b, Memphis, TN 38119
Phone: 901-726-1056    Fax: 901-726-5867
William Leslie Hickerson, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 890 Madison Ave, Suite Tg032, Memphis, TN 38103
Phone: 901-448-2579    Fax: 901-448-2602
Dr. Albert Joseph Grobmyer Iii,
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 3175 Lenox Park Blvd, Suite 309, Memphis, TN 38115
Phone: 901-273-2600    Fax: 901-761-3786
Dr. Dan Huff Shell Iii, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1068 Cresthaven Rd Ste 200, Memphis, TN 38119
Phone: 901-761-4844    Fax: 901-761-6929
Randall William Franz, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1325 Eastmoreland Ave Ste 365, Memphis, TN 38104
Phone: 901-272-6018    Fax: 901-201-4203
Dr. Christine T Mroz, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 6005 Park, #700, Memphis, TN 38119
Phone: 901-527-3391    Fax: 901-578-3969

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