Dr Adam Donald Wallace, MD in Rochester, MN - Medicare Psychiatry & Neurology

Dr Adam Donald Wallace, MD is a medicare enrolled "Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology" physician in Rochester, Minnesota. His current practice location is 200 1st St Sw, Rochester, Minnesota. You can reach out to his office (for appointments etc.) via phone at (507) 284-2511.

Dr Adam Donald Wallace is licensed to practice in Wisconsin (license number 67056-20) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1386969079.

Contact Information

	Dr Adam Donald Wallace, MD
	200 1st St Sw, Rochester, MN 55905
	(507) 284-2511
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Adam Donald Wallace
Gender	Male
Speciality	Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology
Location	200 1st St Sw, Rochester, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386969079
Provider Enumeration Date: 04/06/2010
Last Update Date: 12/08/2021

Medicare PECOS Information:

PECOS PAC ID: 2264744945
Enrollment ID: I20170804002869

Medical Identifiers

Medical identifiers for Dr Adam Donald Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386969079	NPI	-	NPPES
1386969079	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084N0400X	Psychiatry & Neurology - Neurology	036145300 (Illinois)	Secondary
2084N0400X	Psychiatry & Neurology - Neurology	67056-20 (Wisconsin)	Secondary
2084N0402X	Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology	036145300 (Illinois)	Secondary
2084N0402X	Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology	67056-20 (Wisconsin)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Adam Donald Wallace allows following entities to bill medicare on his behalf.

Entity Name	Aurora Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725

Entity Name	University Of Wisconsin Medical Foundation Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598784555 PECOS PAC ID: 6608785464 Enrollment ID: O20031111000435

Entity Name	Gundersen Lutheran Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376593442 PECOS PAC ID: 2163331414 Enrollment ID: O20130619000254

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. Dr Adam Donald Wallace is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Adam Donald Wallace, MD 7974 Uw Health Ct, Middleton, WI 53562-5531 Ph: (608) 829-5485	Dr Adam Donald Wallace, MD 200 1st St Sw, Rochester, MN 55905 Ph: (507) 284-2511

Reviews and Comments

Psychiatry & Neurology Doctors in Rochester, MN

Ms. Catherine Elizabeth Arnold, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511
Bronwyn Lane Scott, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511
Luke Joseph Klugherz, MD Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511
Dr. Lawrence P Peterson, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 210 9th St Se, Rochester, MN 55904 Phone: 507-288-3443
Donald E Mc Alpine Jr., M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511
Shelley Ann Cross, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511
Dr. Carolina Gil Tommee, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511

Dr Adam Donald Wallace, MD - Medicare Psychiatry & Neurology in Rochester, MN