Wallace Heller, MD in Altus, OK - Psychiatry & Neurology

Wallace Heller, MD is a Psychiatry & Neurology - Psychiatry physician based in Altus, Oklahoma. Wallace Heller is licensed to practice in Oklahoma (license number 22963) and his current practice location is 1200 E Tamarack Rd, Ste B, Altus, Oklahoma. He can be reached at his office (for appointments etc.) via phone at (580) 482-4095.

NPI number for Wallace Heller is 1023015583 and his current mailing address is Po Box 8190, Altus, Oklahoma. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1023015583.

Contact Information

	Wallace Heller, MD
	1200 E Tamarack Rd, Ste B, Altus, OK 73521-1234
	(580) 482-4095
	(580) 481-2499

Physician's Profile

Full Name	Wallace Heller
Gender	Male
Speciality	Psychiatry & Neurology - Psychiatry
Location	1200 E Tamarack Rd, Altus, Oklahoma
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1023015583
Provider Enumeration Date: 06/30/2005
Last Update Date: 04/23/2008

Medical Identifiers

Medical identifiers for Wallace Heller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023015583	NPI	-	NPPES
100845290A	Medicaid	OK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	22963 (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. Wallace Heller 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 Address	Practice Location Address
Wallace Heller, MD Po Box 8190, Altus, OK 73522-8190 Ph: (580) 482-4781	Wallace Heller, MD 1200 E Tamarack Rd, Ste B, Altus, OK 73521-1234 Ph: (580) 482-4095

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Wallace Heller, MD - Psychiatry & Neurology in Altus, OK