| Adam Bryan Wallace, MD | |
|
300 Pasteur Dr, Stanford, CA 94305-2200 | |
| (650) 723-4000 | |
| Not Available |
| Full Name | Adam Bryan Wallace |
|---|---|
| Gender | Male |
| Speciality | Plastic And Reconstructive Surgery |
| Experience | 9 Years |
| Location | 300 Pasteur Dr, Stanford, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700317898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208200000X | Plastic Surgery | A161405 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Permanente Medical Group Inc | 8921910225 | 10928 |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Adam Bryan Wallace, MD 300 Pasteur Dr, Stanford, CA 94305-2200 Ph: (650) 723-4000 | Adam Bryan Wallace, MD 300 Pasteur Dr, Stanford, CA 94305-2200 Ph: (650) 723-4000 |
Dr. Jennifer L Weintraub, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-5824 |
Nicholas Chang Bene, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 |
Dr. Angeline F Lim, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-6661 |
Dr. Michael Thornton Longaker, MD MBA Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 257 Campus Dr, Stanford, CA 94305 Phone: 650-736-1707 Fax: 650-736-1705 |
Anna Ting Zhou, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 |
Shanique Anthonet Martin, MD Plastic Surgery Medicare: May Accept Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 |
Nicole Kim-anh Le, MD Plastic Surgery Medicare: May Accept Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 |