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Robert Vernon Wallace

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NPI Number Detailed Information

Provider Information:

Name: Robert Vernon Wallace
Gender: M
Provider License Number If Given: ME0013849

NPI Information:

NPI: 1922113174
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 8/20/2006

Last Update Date: 3/7/2023

Provider Business Mailing Address:

Address: PO BOX 848
Lehigh Acres, FL 33970
Phone Number: 2393692903
Fax Number: 2393690500

Provider Business Practice Location Address:

Address: 400 LEE BLVD
Lehigh Acres, FL 33936
Phone Number: 2393692903
Fax Number: 2393690500

Provider Taxonomy:

Primary: 207Q00000X
Secondary (if any):
State: FL

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About Robert Vernon Wallace

Robert Vernon Wallace ( ROBERT VERNON WALLACE ) is Family Family Medicine Physician in Lehigh Acres, FL. The NPI Number for Robert Vernon Wallace is 1922113174.
The current location address for Robert Vernon Wallace is 400 LEE BLVD Lehigh Acres, FL 33936 and the contact number is 2393692903 and fax number is 2393690500. The mailing address for Robert Vernon Wallace is PO BOX 848 Lehigh Acres, FL 33970- 2393692903 (mailing address contact number - 2393692903).
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Provider Business Location on Map

FAQs:

What is the NPI Number for Robert Vernon Wallace ?


Answer: The NPI Number for Robert Vernon Wallace is 1922113174

Where is Robert Vernon Wallace located?


Answer: Robert Vernon Wallace is located at 400 LEE BLVD Lehigh Acres, FL 33936.

What is the specialty for Robert Vernon Wallace ?


Answer: The Specialty of Robert Vernon Wallace is Family Family Medicine Physician.

Are there any online reviews for Robert Vernon Wallace ?


Answer: Not yet!

Are there any other health care providers in Lehigh Acres, FL?


Answer: Yes, there are given below...

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Family Practice
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 121
Number of Standardized 30-Day Fills 128.33333333
Aggregate Cost Paid for All Claims 15293.23
Number of Day's Supply for All Claims 3740
Number of Medicare Beneficiaries
Number of Claims, Including Refills, for Beneficiaries Age 65+ 0
Including Refills, for Beneficiaries Age 65+ 0
Beneficiaries Age 65+ 0
Number of Day's Supply for All Claims for Beneficaries Age 65+ 0
Number of Medicare Beneficiaries Age 65+
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 33
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 73
Aggregate Cost Paid for Generic Drugs 4221.81
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 15
Aggregate Cost Paid for Other Drugs 1067.97
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst *
Number of Claims for Beneficiaries Covered by MAPD Plans
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst #
Number of Claims for Beneficiaries Covered by Standalone PDP Plans
Aggregate Cost Paid for Claims Filled by
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 121
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 15293.23
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 0
by Low-Income Subsidy 0
Total Claims of Opioid Drugs, Including 0
Aggregate Cost Paid for Opioid Drugs 0
Opioid Claims
Opioid_Tot_Clms divided by the Tot_Clms 0
Total Claims of Long-Acting Opioid Drugs 0
Aggregate Cost Paid for Long-Acting Opioid 0
Number of Day's Supply of All Long-Acting 0
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including 0
Aggregate Cost Paid for Antibiotic Drugs 0
Antibiotic Claims
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 59
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries
Number of Male Beneficiaries
Number of Non-Hispanic White
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not
Only Entitlement
Average Hierarchical Condition Category 2.1085

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Address: 400 LEE BLVD Lehigh Acres, FL 33936 , Phone: 2393692903
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