Dr J Michael Wallace, MD in Salt Lake City, UT

Dr J Michael Wallace, MD is a medicare enrolled "Emergency Medicine" physician in Salt Lake City, Utah. He went to Oregon Health Sciences University School Of Medicine and graduated in 2008 and has 16 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Northwest Emergency Physicians Llc and his current practice location is 1528 Laird Ave, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (503) 475-8549.

Dr J Michael Wallace is licensed to practice in Utah (license number 7471598-1205) 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 1477707685.

Contact Information

	Dr J Michael Wallace, MD
	1528 Laird Ave, Salt Lake City, UT 84105-1730
	(503) 475-8549
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr J Michael Wallace
Gender	Male
Speciality	Emergency Medicine
Experience	16 Years
Location	1528 Laird Ave, Salt Lake City, Utah
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 J Michael Wallace attended and graduated from Oregon Health Sciences University School Of Medicine in 2008

NPI Data:

NPI Number: 1477707685
Provider Enumeration Date: 11/14/2008
Last Update Date: 06/14/2012

Medicare PECOS Information:

PECOS PAC ID: 4082807136
Enrollment ID: I20111216000359

Medical Identifiers

Medical identifiers for Dr J Michael Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477707685	NPI	-	NPPES
MD13915	Other	RI	MEDICAL LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	7471598-1205 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Skagit Valley Hospital	Mount vernon, WA	Hospital
Peacehealth United General Medical Center	Sedro woolley, WA	Hospital
St Joseph Hospital	Bellingham, WA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northwest Emergency Physicians Llc	3476462334	186

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 J Michael Wallace allows following entities to bill medicare on his behalf.

Entity Name	South Sound Inpatient Physicians Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023285756 PECOS PAC ID: 5991618738 Enrollment ID: O20031107000668

Entity Name	Cogent Healthcare Of Washington, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861430522 PECOS PAC ID: 2062306350 Enrollment ID: O20040209000839

Entity Name	Northwest Emergency Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235172370 PECOS PAC ID: 3476462334 Enrollment ID: O20041214000892

Entity Name	Sound Physicians Emergency Medicine Of Washington Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629532064 PECOS PAC ID: 7315279007 Enrollment ID: O20191030000855

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 J Michael 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 J Michael Wallace, MD 821 S 600 E, Salt Lake City, UT 84102-3507 Ph: (503) 475-8549	Dr J Michael Wallace, MD 1528 Laird Ave, Salt Lake City, UT 84105-1730 Ph: (503) 475-8549

Reviews and Comments

Emergency Medicine Doctors in Salt Lake City, UT

Dr. Benjamin J. Verseman, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 30 N 1900 E # 1c026, Salt Lake City, UT 84132 Phone: 801-581-2417
Dr. Carrie Anderson, DVM Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1021 E 3300 S, Salt Lake City, UT 84106 Phone: 801-942-3951 Fax: 801-942-3951
Lindsey L. Fell, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: Helix: 30 N Mario Capecchi Dr Rm 2s200, Salt Lake City, UT 84112 Phone: 801-581-2121
Jared C Dunn, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5848 S Fashion Blvd Ste 110, Salt Lake City, UT 84107 Phone: 801-314-4020 Fax: 801-314-4015
Jeffrey Druck, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-2121
Kristen Jahn, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1050 E South Temple, Salt Lake City, UT 84102 Phone: 801-350-4111
Marian Serra, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1050 E South Temple, Salt Lake City, UT 84102 Phone: 801-350-4111

Dr J Michael Wallace, MD - Medicare Emergency Medicine in Salt Lake City, UT