Jodi Beth Wallis, DO - Medicare Obstetrics/gynecology in Syracuse, NY

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Jodi Beth Wallis, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Syracuse, New York. She graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice St Josephs Hospital Health Center and her current practice location is 725 Irving Ave, Ste 600, Syracuse, New York. You can reach out to her office (for appointments etc.) via phone at (315) 464-5162.

Jodi Beth Wallis is licensed to practice in New York (license number 271804) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1811135684.

Contact Information

Jodi Beth Wallis, DO
725 Irving Ave, Ste 600,
Syracuse, NY 13210-1603
(315) 464-5162
(315) 464-4613

Map and Direction




Physician's Profile

Full NameJodi Beth Wallis
GenderFemale
SpecialityObstetrics/gynecology
Experience19 Years
Location725 Irving Ave, Syracuse, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jodi Beth Wallis graduated from medical school in 2005
  NPI Data:
  • NPI Number: 1811135684
  • Provider Enumeration Date: 02/01/2009
  • Last Update Date: 11/14/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 0042362931
  • Enrollment ID: I20131030000490

Medical Identifiers

Medical identifiers for Jodi Beth Wallis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811135684NPI-NPPES
03657994MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 271804 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Josephs Hospital Health Center923404332482

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. Jodi Beth Wallis allows following entities to bill medicare on her behalf.
Entity NameSt Josephs Hospital Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508815333
PECOS PAC ID: 9234043324
Enrollment ID: O20031113000400
Entity NameUniversity Ob/gyn Associates, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235170150
PECOS PAC ID: 9133117740
Enrollment ID: O20040503001562
Entity NameSt Josephs Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942501747
PECOS PAC ID: 4688855844
Enrollment ID: O20110221000744

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. Jodi Beth Wallis 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
Jodi Beth Wallis, DO
725 Irving Ave, Ste 600,
Syracuse, NY 13210-1603

Ph: (315) 464-5162		Jodi Beth Wallis, DO
725 Irving Ave, Ste 600,
Syracuse, NY 13210-1603

Ph: (315) 464-5162

Reviews and Comments


Obstetrics & Gynecology Doctors in Syracuse, NY

Kasandra Lynne Scales, MD, MPH
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Phone: 315-464-5162    Fax: 315-464-4613
Alfredo Lopez, MD
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Althea Hoilett Barrett,
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Leah Kaufman, MD
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Practice Location: 725 Irving Ave, Ste 600, Syracuse, NY 13210
Phone: 315-464-5162    Fax: 315-464-4613
George L Stanley, MD
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Phone: 315-476-7921    Fax: 315-474-1448
Carly Hornis, MD
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Phone: 315-478-1158    Fax: 315-478-3014
Mr. Dimitrios S Mastrogiannis, MD,PHD,FACOG
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Medicare: Accepting Medicare Assignments
Practice Location: 90 Presidential Plaza, 3rd Fl, Syracuse, NY 13202
Phone: 315-464-4458    Fax: 315-464-6388

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.