B Jeffrey Wallis MD PA
NPI 1003199076ActiveOrganization· Internal Medicine, Gastroenterology· Crystal River, FL
Internal Medicine, Gastroenterology in Crystal River, Florida, registered in NPPES in September 2011. The authorized official on file is Barrett Jeffrey Wallis, M.D., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1003199076 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 26, 2011 |
| Last updated in NPPES | Aug 7, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Gastroenterology Primary | 207RG0100X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
Other Internal Medicine, Gastroenterology providers in Crystal River
- 1366651531
- 1063440139
- 1881623767
- 1649207036
- 1578728986
- 1639572134
- 1699158915
- 1861832438
- 1346272549
- 1073558862
- 1437425790
- 1740220938
All Internal Medicine, Gastroenterology providers in Florida →