Dr Eric L Wallace, DO - Medicare Interventional Cardiology in Coeur D Alene, ID

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Dr Eric L Wallace, DO is a medicare enrolled "Internal Medicine - Interventional Cardiology" physician in Coeur D Alene, Idaho. He graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Interventional Cardiology. He is a member of the group practice Kootenai Health Inc, Kootenai Health, Inc., St Joseph Hospital Llc and his current practice location is 700 W Ironwood Dr, 320, Coeur D Alene, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 625-5250.

Dr Eric L Wallace is licensed to practice in Washington (license number OP60505950) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1568658243.

Contact Information

Dr Eric L Wallace, DO
700 W Ironwood Dr, 320,
Coeur D Alene, ID 83814-2656
(208) 625-5250
Not Available

Map and Direction




Physician's Profile

Full NameDr Eric L Wallace
GenderMale
SpecialityInterventional Cardiology
Experience18 Years
Location700 W Ironwood Dr, Coeur D Alene, Idaho
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Eric L Wallace graduated from medical school in 2006
  NPI Data:
  • NPI Number: 1568658243
  • Provider Enumeration Date: 09/17/2007
  • Last Update Date: 12/31/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 6709939291
  • Enrollment ID: I20150519002539

Medical Identifiers

Medical identifiers for Dr Eric L Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568658243NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RI0011XInternal Medicine - Interventional Cardiology OP60505950 (Washington)Primary
207R00000XInternal Medicine 2007-014326 (North Carolina)Secondary
207R00000XInternal Medicine 03263 (Kentucky)Secondary
207RC0000XInternal Medicine - Cardiovascular Disease O0839 (Idaho)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kootenai HealthCoeur d'alene, IDHospital
St Marys Hospital And ClinicsCottonwood, IDHospital
Tri-state Memorial HospitalClarkston, WAHospital
St Joseph Regional Medical CenterLewiston, IDHospital
Syringa General HospitalGrangeville, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kootenai Health Inc1355792276291
Kootenai Health, Inc.4789641598331
St Joseph Hospital Llc832532580639

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 Eric L Wallace allows following entities to bill medicare on his behalf.
Entity NameKootenai Health, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235288655
PECOS PAC ID: 4789641598
Enrollment ID: O20041214000230
Entity NameSt Joseph Hospital Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205368404
PECOS PAC ID: 8325325806
Enrollment ID: O20170606002496
Entity NameKootenai Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174661151
PECOS PAC ID: 1355792276
Enrollment ID: O20240111003252

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 Eric L 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 AddressPractice Location Address
Dr Eric L Wallace, DO
700 W Ironwood Dr, 320,
Coeur D Alene, ID 83814-2656

Ph: (208) 625-5250		Dr Eric L Wallace, DO
700 W Ironwood Dr, 320,
Coeur D Alene, ID 83814-2656

Ph: (208) 625-5250

Reviews and Comments


Internal Medicine Doctors in Coeur D Alene, ID

Diana Johns,
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2248 W Rosebud Ln, Coeur D Alene, ID 83814
Phone: 907-687-6248    
Marc Olav Granrud,
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814
Phone: 208-625-6900    Fax: 208-625-6710
Kevin Nathaniel Brown, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814
Phone: 208-625-6900    Fax: 208-625-6910
Edward J Macinerney, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 700 W Ironwood Dr Ste 320, Coeur D Alene, ID 83814
Phone: 208-625-5250    Fax: 208-625-5251
Dr. Amanda Rose Liggett, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 700 W Ironwood Dr Ste 378, Coeur D Alene, ID 83814
Phone: 208-625-3555    Fax: 208-765-1494
Dr. Robert Scoggins, M.D., PH.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 700 W Ironwood Dr Ste 378, Coeur D Alene, ID 83814
Phone: 208-765-1252    Fax: 208-765-1494
Dr. Sean Tristan Lawrence Cook, D.O.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2120 W Ironwood Center Dr, Coeur D Alene, ID 83814
Phone: 208-625-6944    Fax: 208-625-6945

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.