Tracy Wallace, MD - Medicare Pediatrics in Gonzales, LA

Tracy Wallace, MD is a medicare enrolled "Pediatrics" physician in Gonzales, Louisiana. Her current practice location is 1937 S Burnside Ave, Gonzales, Louisiana. You can reach out to her office (for appointments etc.) via phone at (225) 765-5500.

Tracy Wallace is licensed to practice in Louisiana (license number 204717) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1720306558.

Contact Information

Tracy Wallace, MD
1937 S Burnside Ave,
Gonzales, LA 70737-4632
(225) 765-5500
(225) 644-9286



Physician's Profile

Full NameTracy Wallace
GenderFemale
SpecialityPediatrics
Location1937 S Burnside Ave, Gonzales, Louisiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1720306558
  • Provider Enumeration Date: 05/04/2010
  • Last Update Date: 05/19/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3971736539
  • Enrollment ID: I20140506000776

Medical Identifiers

Medical identifiers for Tracy Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720306558NPI-NPPES
2103831MedicaidLA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 204717 (Louisiana)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. Tracy Wallace allows following entities to bill medicare on her behalf.
Entity NameOur Lady Of Lake Ascension, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306899067
PECOS PAC ID: 3577452259
Enrollment ID: O20040311000822

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Entity NameOur Lady Of The Lake Physician Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033494943
PECOS PAC ID: 4587849781
Enrollment ID: O20120529000377

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Metabolically healthy obesity – where an individual has a Body Mass Index of greater than 30 but does not appear to be at increased risk of the health complications usually associated with excess weight – has only been recently widely recognised by medical practitioners.

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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. Tracy 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
Tracy Wallace, MD
5959 S Sherwood Forest Blvd,
Baton Rouge, LA 70816-6038

Ph: (225) 765-5727
Tracy Wallace, MD
1937 S Burnside Ave,
Gonzales, LA 70737-4632

Ph: (225) 765-5500

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Dr. Tim Lepore, 67, is a jack-of-all-trades general surgeon, tending to the 10,000 full-time residents of the Massachusetts island of Nantucket and to the many thousand more rich and famous summer-dwellers. Dr. Lepore has dealt with everything from poison ivy and tick-borne illnesses to narcolepsy and toe tourniquet syndrome (when a mother's hair wraps around a baby's toe, cutting off circulation). He counsels alcoholics, and allows patients to barter for health care. He once accepted oatmeal cookies from an immigrant worker who had no money for treatment.

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Metabolically healthy obesity – where an individual has a Body Mass Index of greater than 30 but does not appear to be at increased risk of the health complications usually associated with excess weight – has only been recently widely recognised by medical practitioners.

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Contrary to previous studies, African-American women with early-stage breast cancer who have surgery to remove the cancer (lumpectomy) followed by radiation therapy have a higher chance of their cancer coming back in the breast and lymph nodes 10 years after diagnosis, compared to their Caucasian counterparts, according to the largest study of its kind, presented at a scientific session October 29, 2007, at the American Society for Therapeutic Radiology and Oncology's 49th Annual Meeting in Los Angeles.

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› Verified 5 days ago


Pediatrics Doctors in Gonzales, LA

Dr. Brittany Alexis Landry, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2400 S Burnside Ave, Gonzales, LA 70737
Phone: 225-761-5200    Fax: 225-709-6425
Cammie A Hilliard, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1937 S Burnside Ave, Gonzales, LA 70737
Phone: 225-765-5500    Fax: 225-644-9286
Leyamma Mathew, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 721 E Highway 30, Gonzales, LA 70737
Phone: 225-644-7337    Fax: 225-644-5202
Mrs. Allison Renee Dupuis Prevost, M. D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2647 S Saint Elizabeth Blvd Ste 320, Gonzales, LA 70737
Phone: 225-647-8511    Fax: 225-647-5093
Sarah Wilks, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1702 N Burnside Ave Ste C, Gonzales, LA 70737
Phone: 225-765-5500    Fax: 225-644-0341
Dawn Zitman, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1937 S Burnside Ave, Gonzales, LA 70737
Phone: 225-765-5500    Fax: 225-644-9286

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