Dr Edward Alton Wallace, MD - Medicare Anesthesiology in Conway, SC

Dr Edward Alton Wallace, MD is a medicare enrolled "Anesthesiology" physician in Conway, South Carolina. He went to Medical University Of South Carolina College Of Medicine and graduated in 1984 and has 40 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Mcleod Physician Associates Ii and his current practice location is 300 Singleton Ridge Rd, Conway, South Carolina. You can reach out to his office (for appointments etc.) via phone at (843) 669-5162.

Dr Edward Alton Wallace is licensed to practice in South Carolina (license number 13597) 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 1255486452.

Contact Information

Dr Edward Alton Wallace, MD
300 Singleton Ridge Rd,
Conway, SC 29526-9142
(843) 669-5162
(843) 669-5162



Physician's Profile

Full NameDr Edward Alton Wallace
GenderMale
SpecialityAnesthesiology
Experience40 Years
Location300 Singleton Ridge Rd, Conway, South Carolina
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 Edward Alton Wallace attended and graduated from Medical University Of South Carolina College Of Medicine in 1984
  NPI Data:
  • NPI Number: 1255486452
  • Provider Enumeration Date: 01/25/2007
  • Last Update Date: 12/21/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 8325030836
  • Enrollment ID: I20040402000118

Medical Identifiers

Medical identifiers for Dr Edward Alton Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255486452NPI-NPPES
5900433MedicaidNC
135972MedicaidSC
570835798OtherSCSTANDARD TAX ID
E0051OtherSCMEDCOST

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology 13597 (South Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mcleod Regional Medical Center-pee DeeFlorence, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mcleod Physician Associates Ii8224031307520

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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 Edward Alton Wallace allows following entities to bill medicare on his behalf.
Entity NameFlorence Surgery & Laser Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912959560
PECOS PAC ID: 0042102428
Enrollment ID: O20040416000093

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Entity NameMcleod Physician Associates Ii
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801990494
PECOS PAC ID: 8224031307
Enrollment ID: O20060926000568

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Entity NameCoastal Healthcare Resources Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467635128
PECOS PAC ID: 1658283593
Enrollment ID: O20080225000004

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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 Edward Alton 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 Edward Alton Wallace, MD
3100 Spring Forest Rd, Suite 130,
Raleigh, NC 27616-2880

Ph: (919) 882-0705
Dr Edward Alton Wallace, MD
300 Singleton Ridge Rd,
Conway, SC 29526-9142

Ph: (843) 669-5162

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Anesthesiology Doctors in Conway, SC

Dr. Ihor V Melnytskyy, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 300 Singleton Ridge Road, Conway Medical Center, Conway, SC 29526
Phone: 843-347-7111    
Dr. Casmir Michal Kielar, MD
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 822 Farrar Dr, Conway, SC 29526
Phone: 843-347-9587    Fax: 843-347-9633
Susan J Haskin, MD
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 300 Singleton Ridge Rd, Conway, SC 29526
Phone: 843-669-5162    Fax: 843-667-4573
Mr. Richard Blake Kline, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 2767 Cultra Rd, Conway, SC 29526
Phone: 843-438-8470    Fax: 843-438-8480
Frank F Humbles, MD
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 300 Singleton Ridge Rd, Conway, SC 29526
Phone: 843-669-5162    Fax: 843-667-4573

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