Dr Graham Wilson Wallace, MD in Travis Afb, CA - Medicare Diagnostic Radiology

Dr Graham Wilson Wallace, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Travis Afb, California. He went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 1998 and has 26 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Denver Health And Hospital Authority and his current practice location is David Grant Medical Center, 101 Bodin Circle, Travis Afb, California. You can reach out to his office (for appointments etc.) via phone at (707) 423-3040.

Dr Graham Wilson Wallace is licensed to practice in California (license number C142217) 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 1063499267.

Contact Information

	Dr Graham Wilson Wallace, MD
	David Grant Medical Center, 101 Bodin Circle, Travis Afb, CA 94535-1809
	(707) 423-3040
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Graham Wilson Wallace
Gender	Male
Speciality	Diagnostic Radiology
Experience	26 Years
Location	David Grant Medical Center, Travis Afb, California
Accepts Medicare Assignments	Yes. 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 Graham Wilson Wallace attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 1998

NPI Data:

NPI Number: 1063499267
Provider Enumeration Date: 12/29/2005
Last Update Date: 03/04/2022

Medicare PECOS Information:

PECOS PAC ID: 7012200132
Enrollment ID: I20220906003401

Medical Identifiers

Medical identifiers for Dr Graham Wilson Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063499267	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	01051128A (Indiana)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	01051128A (Indiana)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	C142217 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Denver Health & Hospital Authority	Denver, CO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Denver Health And Hospital Authority	4688583578	651

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 Graham Wilson Wallace allows following entities to bill medicare on his behalf.

Entity Name	Denver Health And Hospital Authority
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477569838 PECOS PAC ID: 4688583578 Enrollment ID: O20031105000211

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 Graham Wilson 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 Graham Wilson Wallace, MD David Grant Medical Center, 101 Bodin Circle, Travis Afb, CA 94535-1809 Ph: (707) 423-3040	Dr Graham Wilson Wallace, MD David Grant Medical Center, 101 Bodin Circle, Travis Afb, CA 94535-1809 Ph: (707) 423-3040

Reviews and Comments

Radiology Doctors in Travis Afb, CA

Dr. Teddy Jinnteh Su, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, 60th Medical Group, Travis Afb, CA 94535 Phone: 707-423-7181
Dr. Zoltan A. Varro, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-7182
James Odone, Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-7182
Dr. Theodore Joseph Jerdee, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, 60 Mdg/sgqx, Travis Afb, CA 94535 Phone: 707-423-7182
Dr. Lance Dustin Edmonds, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Mdts/sgqx, Travis Afb, CA 94535 Phone: 707-423-7182
Winnifred Wong, DO Radiology Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-7691
Dr. Marvin Glass Jr., PHD Radiology Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-5119

Dr Graham Wilson Wallace, MD - Medicare Diagnostic Radiology in Travis Afb, CA