Dr Wallace Roy Pratt, MD in Shawnee, OK - Allergy & Immunology

Dr Wallace Roy Pratt, MD is a Allergy & Immunology physician based in Shawnee, Oklahoma. Dr Wallace Roy Pratt is licensed to practice in Oklahoma (license number 18812) and his current practice location is 3315 Kethley Rd, Shawnee, Oklahoma. He can be reached at his office (for appointments etc.) via phone at (405) 273-5801.

NPI number for Dr Wallace Roy Pratt is 1831146851 and his current mailing address is Po Box 258884, Oklahoma City, Oklahoma. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1831146851.

Contact Information

	Dr Wallace Roy Pratt, MD
	3315 Kethley Rd, Shawnee, OK 74804-9638
	(405) 273-5801
	(405) 878-3794

Physician's Profile

Full Name	Dr Wallace Roy Pratt
Gender	Male
Speciality	Allergy & Immunology
Location	3315 Kethley Rd, Shawnee, Oklahoma
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1831146851
Provider Enumeration Date: 05/27/2006
Last Update Date: 11/11/2016

Medical Identifiers

Medical identifiers for Dr Wallace Roy Pratt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831146851	NPI	-	NPPES
100206950A	Medicaid	OK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207K00000X	Allergy & Immunology	18812 (Oklahoma)	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 Wallace Roy Pratt 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 Address	Practice Location Address
Dr Wallace Roy Pratt, MD Po Box 258884, Oklahoma City, OK 73125-8884 Ph: (405) 231-3857	Dr Wallace Roy Pratt, MD 3315 Kethley Rd, Shawnee, OK 74804-9638 Ph: (405) 273-5801

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Dr Wallace Roy Pratt, MD - Allergy & Immunology in Shawnee, OK