Dr Shana Dale Wallace, MD - Medicare Psychiatry & Neurology in Charlotte, NC

Dr Shana Dale Wallace, MD is a medicare enrolled "Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology" physician in Charlotte, North Carolina. Her current practice location is 1900 Randolph Rd, Suite 1010, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 384-1390.

Dr Shana Dale Wallace is licensed to practice in North Carolina (license number 200401063) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1013040666.

Contact Information

Dr Shana Dale Wallace, MD
1900 Randolph Rd, Suite 1010,
Charlotte, NC 28207-1122
(704) 384-1390
(704) 384-1063



Physician's Profile

Full NameDr Shana Dale Wallace
GenderFemale
SpecialityPsychiatry & Neurology - Neurology With Special Qualifications In Child Neurology
Location1900 Randolph Rd, Charlotte, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013040666
  • Provider Enumeration Date: 03/13/2007
  • Last Update Date: 10/25/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4880832401
  • Enrollment ID: I20180927000218

Medical Identifiers

Medical identifiers for Dr Shana Dale Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013040666NPI-NPPES
5907566MedicaidNC
200401063OtherNCMEDICAL LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0008XPediatrics - Neurodevelopmental Disabilities 2004-01063 (North Carolina)Secondary
2084N0402XPsychiatry & Neurology - Neurology With Special Qualifications In Child Neurology 200401063 (North Carolina)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 Shana Dale Wallace allows following entities to bill medicare on her behalf.
Entity NameNovant Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366409492
PECOS PAC ID: 1153234893
Enrollment ID: O20031121000692

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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 Shana Dale 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 Shana Dale Wallace, MD
Po Box 60447,
Charlotte, NC 28260-0447

Ph: (704) 384-1390
Dr Shana Dale Wallace, MD
1900 Randolph Rd, Suite 1010,
Charlotte, NC 28207-1122

Ph: (704) 384-1390

News Archive

University of York researchers launch major study of lymphoma and myeloma

Researchers at the University of York are launching a major study of lymphoma and myeloma aimed at promoting earlier diagnosis and improving survival for patients with these cancers, which are among the most common in the UK.

Phase 3 ODYSSEY MONO trial with alirocumab meets primary efficacy endpoint

Sanofi and Regeneron Pharmaceuticals, Inc. today announced that the Phase 3 ODYSSEY MONO trial with alirocumab, an investigational monoclonal antibody targeting PCSK9 (proprotein convertase subtilisin/kexin type 9), met its primary efficacy endpoint.

First Edition: June 1, 2012

Today's headlines include reports about the latest health policy developments on Capitol Hill and news on the health insurance marketplace.

Royal Philips Electronics demonstrates its portfolio of dose radiation managing products

Royal Philips Electronics today announced its response to an industry need by showing its portfolio of products designed to manage dose radiation at this year's 95th annual meeting of the Radiological Society of North America (RSNA) in Chicago.

Concern about food safety: Latest cover story topic of C&EN weekly newsmagazine

Recalls of ground beef, peanut butter, and other foods have done more than raise public awareness and concern about food safety. They also are quietly fueling a boom in the market for food testing equipment and fostering new food safety regulations. That's the topic of the two-part cover story in the current issue of Chemical & Engineering News, (C&EN) ACS' weekly newsmagazine.

Read more News

› Verified 1 days ago


Psychiatry & Neurology Doctors in Charlotte, NC

Ryan Alan Williamson, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 200 Hawthorne Ln, Charlotte, NC 28204
Phone: 704-384-9437    
Soong Hyun Lee, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: Behavioral Health Center Cmc Randolph, 501 Billingsley Road, Charlotte, NC 28211
Phone: 704-358-2700    Fax: 704-358-2716
Dr. Richard David Jacobson, MD, PHD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 4228 Brookfield Dr, Charlotte, NC 28210
Phone: 615-345-5400    
Stephanie Francis Newby, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 501 Billingsley Rd, Ste B, Charlotte, NC 28211
Phone: 704-444-2400    
Dr. T Hemanth Rao, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 2607 E 7th St Ste 200, Charlotte, NC 28204
Phone: 704-449-6064    Fax: 704-731-0936
Boris Maximovich Kiselev, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 501 Billingsley Rd, Ste B, Charlotte, NC 28211
Phone: 704-444-2400    
Dr. Sumul Modi, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 5500 Executive Center Dr Ste 206, Charlotte, NC 28212
Phone: 984-777-9940    Fax: 877-794-5929

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