Dr Gabriel Abraham Wallace, MD - Medicare Vascular Surgery in Palos Heights, IL

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Dr Gabriel Abraham Wallace, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Palos Heights, Illinois. He went to University Of Washington School Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Vascular Surgery. He is a member of the group practice Northwestern Medical Faculty Foundation and his current practice location is 12251 S 80th Ave Ste 1520, Palos Heights, Illinois. You can reach out to his office (for appointments etc.) via phone at (708) 923-4200.

Dr Gabriel Abraham Wallace is licensed to practice in Illinois (license number 036142476) 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 1609142074.

Contact Information

Dr Gabriel Abraham Wallace, MD
12251 S 80th Ave Ste 1520,
Palos Heights, IL 60463-1290
(708) 923-4200
(708) 923-4201

Map and Direction




Physician's Profile

Full NameDr Gabriel Abraham Wallace
GenderMale
SpecialityVascular Surgery
Experience12 Years
Location12251 S 80th Ave Ste 1520, Palos Heights, Illinois
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 Gabriel Abraham Wallace attended and graduated from University Of Washington School Of Medicine in 2012
  NPI Data:
  • NPI Number: 1609142074
  • Provider Enumeration Date: 03/29/2012
  • Last Update Date: 08/31/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8628370491
  • Enrollment ID: I20190701001294

Medical Identifiers

Medical identifiers for Dr Gabriel Abraham Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609142074NPI-NPPES
036142476MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 036142476 (Illinois)Secondary
2086S0129XSurgery - Vascular Surgery 036142476 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Palos Community HospitalPalos heights, ILHospital
Central Dupage HospitalWinfield, ILHospital
Silver Cross Hospital And Medical CentersNew lenox, ILHospital
Northwestern Memorial HospitalChicago, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northwestern Medical Faculty Foundation45875768143255

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 Gabriel Abraham Wallace allows following entities to bill medicare on his behalf.
Entity NameNorthwestern Medical Faculty Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346235314
PECOS PAC ID: 4587576814
Enrollment ID: O20031105000541
Entity NamePalos Imaging Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417305350
PECOS PAC ID: 9133415672
Enrollment ID: O20160908001889
Entity NameVascular Surgery Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538791793
PECOS PAC ID: 0345678132
Enrollment ID: O20200309002184

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 Gabriel Abraham 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 Gabriel Abraham Wallace, MD
Po Box 84992,
Chicago, IL 60689-4992

Ph: (918) 710-3710		Dr Gabriel Abraham Wallace, MD
12251 S 80th Ave Ste 1520,
Palos Heights, IL 60463-1290

Ph: (708) 923-4200

Reviews and Comments


Surgery Doctors in Palos Heights, IL

Franjo Siric, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 12251 S 80th Ave Ste 1520, Palos Heights, IL 60463
Phone: 708-923-4200    Fax: 708-923-4448
Dr. Imad Qayyum, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 12255 S 80th Ave, Palos Heights, IL 60463
Phone: 708-923-4400    Fax: 708-923-4421
Ijaz Qayyum, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 12251 S 80th Ave, St. George Ambulatory Center, Palos Heights, IL 60463
Phone: 708-923-4400    Fax: 708-923-4421
Samer Rodwan Rajjoub, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 12251 S 80th Ave, St. George Ambulatory Center, Palos Heights, IL 60463
Phone: 708-923-4400    Fax: 708-923-4421

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.