Ryan C Wallace, MD - Medicare Emergency Medicine in Muncie, IN

Ryan C Wallace, MD is a medicare enrolled "Emergency Medicine" physician in Muncie, Indiana. His current practice location is 2401 W University Ave, Muncie, Indiana. You can reach out to his office (for appointments etc.) via phone at (765) 747-3241.

Ryan C Wallace is licensed to practice in Indiana (license number 01061221A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1316086291.

Contact Information

Ryan C Wallace, MD
2401 W University Ave,
Muncie, IN 47303-3428
(765) 747-3241
(765) 281-6567



Physician's Profile

Full NameRyan C Wallace
GenderMale
SpecialityEmergency Medicine
Location2401 W University Ave, Muncie, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1316086291
  • Provider Enumeration Date: 02/06/2007
  • Last Update Date: 03/06/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3173543865
  • Enrollment ID: I20051123000509

Medical Identifiers

Medical identifiers for Ryan C Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316086291NPI-NPPES
P00742247OtherINRAILROAD MEDICARE
000000688369OtherINANTHEM BC/BS
200802900MedicaidIN
200802900AMedicaidIN
P00841092OtherINRAILROAD MEDICARE
000000626067OtherINANTHEM BC/BS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 01061221A (Indiana)Secondary
207P00000XEmergency Medicine 01061221A (Indiana)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. Ryan C Wallace allows following entities to bill medicare on his behalf.
Entity NameIndiana University Health Ball Memorial Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235455544
PECOS PAC ID: 9537072640
Enrollment ID: O20031110000505

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Entity NameIndiana University Health Care Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902032832
PECOS PAC ID: 5799755864
Enrollment ID: O20040727000955

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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. Ryan C 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
Ryan C Wallace, MD
250 N Shadeland Ave,
Indianapolis, IN 46219-4959

Ph: () -
Ryan C Wallace, MD
2401 W University Ave,
Muncie, IN 47303-3428

Ph: (765) 747-3241

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› Verified 8 days ago


Emergency Medicine Doctors in Muncie, IN

Milissa Ann Eley,
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 333 S Madison St, Muncie, IN 47305
Phone: 765-286-7000    Fax: 765-213-2769
Mr. Ervin A Hunt, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2401 W University Ave, Muncie, IN 47303
Phone: 765-747-4236    Fax: 765-741-2961
Dr. Matthew A Eaton, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2401 W University Ave, Muncie, IN 47303
Phone: 765-747-3111    Fax: 317-962-5492
Dr. Alyssa Ashley Hunter, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2401 W University Ave, Muncie, IN 47303
Phone: 765-741-1515    
Darrell R Hofer, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3807 S Madison St, Muncie, IN 47302
Phone: 765-751-3300    Fax: 765-751-3313
Chandler Scott Brobst, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2598 W White River Blvd, Muncie, IN 47303
Phone: 765-702-2817    Fax: 765-222-2198
Dr. Jason P Medler, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2401 W University Ave, Muncie, IN 47303
Phone: 765-747-3241    

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