KACEY WALLACE, DO
Family Medicine Physician · CHICKASHA, OK
Individual Active Opted out of Medicare NPI 1306868534
Medicare payment data Part B · 2022
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2022 | 166 | 237 | $7,773 | $2,152 | $1,171 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ✓ | 4339 | OK |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Opted out of Medicare (Family Practice), effective 2022-07-22 through 2026-07-22.
Other Family Medicine Physician providers in Oklahoma
- NPI 1023336542
- NPI 1912640764
- NPI 1790912707
- NPI 1811518806
- NPI 1073163275
- NPI 1154655157
- NPI 1225487655
- NPI 1902887482
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.