Kacey L Wallace, DO - Family Medicine in Chickasha, OK

Kacey L Wallace, DO is a Family Medicine physician based in Chickasha, Oklahoma. Kacey L Wallace is licensed to practice in Oklahoma (license number 4339) and her current practice location is 1000 W Choctaw Ave Ste 9, Chickasha, Oklahoma. She can be reached at her office (for appointments etc.) via phone at (405) 544-2940.

NPI number for Kacey L Wallace is 1306868534 and her current mailing address is 1000 W Choctaw Ave Ste 9, Chickasha, Oklahoma. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306868534.

Contact Information

Kacey L Wallace, DO
1000 W Choctaw Ave Ste 9,
Chickasha, OK 73018
(405) 544-2940
(405) 337-9632



Physician's Profile

Full NameKacey L Wallace
GenderFemale
SpecialityFamily Medicine
Location1000 W Choctaw Ave Ste 9, Chickasha, Oklahoma
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1306868534
  • Provider Enumeration Date: 07/24/2006
  • Last Update Date: 11/24/2023

Medical Identifiers

Medical identifiers for Kacey L Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306868534NPI-NPPES
P00331218OtherOKMEDICARE RAIL ROAD
200077860AMedicaidOK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 4339 (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. Kacey L 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
Kacey L Wallace, DO
1000 W Choctaw Ave Ste 9,
Chickasha, OK 73018

Ph: (405) 544-2940
Kacey L Wallace, DO
1000 W Choctaw Ave Ste 9,
Chickasha, OK 73018

Ph: (405) 544-2940

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› Verified 3 days ago


Family Medicine Doctors in Chickasha, OK

Mrs. Abby Marie Housman, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2100 W Iowa Ave, Suite A, Chickasha, OK 73018
Phone: 405-224-2100    Fax: 405-779-2855
Katie Allyse Dudley, APRN, CNP
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2100 W Iowa Ave Ste A, Chickasha, OK 73018
Phone: 405-224-2100    Fax: 405-779-2310
Kevin Anderson, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2100 W Iowa Ave, Suite A, Chickasha, OK 73018
Phone: 405-224-2100    Fax: 405-779-2855
Mary Masterman, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2100 W Iowa Ave Ste A, Chickasha, OK 73018
Phone: 405-224-2100    Fax: 405-779-2310
Sibin Nair, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2100 W Iowa Ave Ste A, Chickasha, OK 73018
Phone: 405-224-2100    
Jeffrey Lee Miller, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2100 W Iowa Ave, Chickasha, OK 73018
Phone: 405-224-2100    Fax: 405-779-2310

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