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ARLIE N. WALLACE D.O.
NPI 1063559417
Psychiatry & Neurology - Psychiatry in Sarasota, FL

Active since February 01, 2007Opted out of Medicare · through Jan 1, 2028
3300 S TAMIAMI TRL, SUITE 5, SARASOTA, FL 34239(941) 366-0664 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Arlie N. Wallace D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ARLIE N. WALLACE D.O. (NPI 1063559417) is an individual psychiatry provider in Sarasota, Florida, licensed in Florida (OS-0004791) and active in the NPI registry since February 2007. She has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1063559417
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameARLIE N. WALLACECredential: D.O.
Location Address3300 S TAMIAMI TRL, SUITE 5Sarasota, FL 34239-5100
Mailing Address3300 S Tamiami Trl, Suite 5Sarasota, FL 34239-5100 · (941) 366-0664
Phone(941) 366-0664
Sole ProprietorYes
Enumeration DateFebruary 1, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1063559417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in FL · OS-0004791
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
3300 S TAMIAMI TRL, Sarasota, FL 34239
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Arlie N. Wallace D.o. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2014 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2014
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34239 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$171.84 typical visit price
range $56.00 – $171.84
Typical copayment $42.96 (range $14.00 – $42.96)
Most-billed visit code 99205
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAVID ALAN THOMPSON D.M.D.
Dentist (Oral and Maxillofacial Surgery)
3300 S TAMIAMI TRL, SUITE7
SARASOTA, FL 34239
Sarasota County (941) 365-3388
DR. ROBERT CHARLES DAVIS II D.D.S.
Dentist (General Practice)
3300 S TAMIAMI TRL, SUITE 4
SARASOTA, FL 34239
Sarasota County (941) 366-7565

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Arlie Wallace's NPI number?

The NPI number for Arlie Wallace is 1063559417. It was assigned to this individual provider in the NPPES registry on February 1, 2007.

Where is Arlie Wallace located?

Arlie Wallace practices at 3300 S Tamiami Trl Suite 5, Sarasota, FL 34239. The listed phone number is (941) 366-0664.

What is Arlie Wallace's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Arlie Wallace enrolled in Medicare?

No. Arlie Wallace has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Arlie Wallace was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.