Thomas Evans Wallace, MD - Medicare Family Practice in Williamsport, PA

Thomas Evans Wallace, MD is a medicare enrolled "Family Medicine" physician in Williamsport, Pennsylvania. He went to Temple University School Of Medicine and graduated in 1989 and has 35 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Family Practice Center Pc and his current practice location is 145 Shaffer St, Williamsport, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (570) 327-1335.

Thomas Evans Wallace is licensed to practice in Pennsylvania (license number MD045078L) 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 1306882725.

Contact Information

Thomas Evans Wallace, MD
145 Shaffer St,
Williamsport, PA 17702-6727
(570) 327-1335
(570) 321-7800



Physician's Profile

Full NameThomas Evans Wallace
GenderMale
SpecialityFamily Practice
Experience35 Years
Location145 Shaffer St, Williamsport, Pennsylvania
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:
  • Thomas Evans Wallace attended and graduated from Temple University School Of Medicine in 1989
  NPI Data:
  • NPI Number: 1306882725
  • Provider Enumeration Date: 06/22/2006
  • Last Update Date: 10/05/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7719997048
  • Enrollment ID: I20060501000426

Medical Identifiers

Medical identifiers for Thomas Evans Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306882725NPI-NPPES
707439F6KOtherPAMEDICARE
001280114MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MD045078L (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Residential Home Health Of Nc Pa, LlcWilliamsport, PAHome health agency
Susquehanna Home Care And Hospice ServicesWilliamsport, PAHome health agency
Susquehanna Home Care & Hospice ServicesWilliamsport, PAHospice
Williamsport Regional Medical CenterWilliamsport, PAHospital
Upmc Susquehanna MuncyMuncy, PAHospital
Geisinger Medical CenterDanville, PAHospital
Evangelical Community HospitalLewisburg, PAHospital
Geisinger Jersey Shore HospitalJersey shore, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Family Practice Center Pc0244124212265

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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. Thomas Evans Wallace allows following entities to bill medicare on his behalf.
Entity NameFamily Practice Center Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154376937
PECOS PAC ID: 0244124212
Enrollment ID: O20040211000012

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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. Thomas Evans 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
Thomas Evans Wallace, MD
7 Dock Hill Rd,
Middleburg, PA 17842-8910

Ph: (570) 837-2123
Thomas Evans Wallace, MD
145 Shaffer St,
Williamsport, PA 17702-6727

Ph: (570) 327-1335

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Family Medicine Doctors in Williamsport, PA

Dr. Kathleen Claire Lewis,
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1701 Four Mile Dr, Williamsport, PA 17701
Phone: 570-327-1000    Fax: 570-323-6079
Alexander Elli Nuique Jr., MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1205 River Avenue Fl 2, Williamsport, PA 17701
Phone: 570-326-4118    Fax: 570-326-5533
Jeffrey Verzella,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 740 High St, Suite 4001, Williamsport, PA 17701
Phone: 570-321-2345    
Courtney Leigh Goettel, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 740 High St Ste 4001, Williamsport, PA 17701
Phone: 570-321-2345    
Lara Jaussi, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1100 Grampian Blvd, Williamsport, PA 17701
Phone: 570-320-7680    
Leeanna Lyne,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1205 Grampian Blvd, Suite 3c, Williamsport, PA 17701
Phone: 570-320-7800    
Daniel R Conner, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 471 Hepburn St, Williamsport, PA 17701
Phone: 570-567-5400    

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