Amy Blaising Wallace, DO - Medicare Family Practice in Eaton Rapids, MI

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Amy Blaising Wallace, DO is a medicare enrolled "Family Medicine" physician in Eaton Rapids, Michigan. She went to Michigan State University College Of Osteopathic Medicine and graduated in 1996 and has 29 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Sparrow Eaton Hospital and her current practice location is 1415 S Main St, Eaton Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at (517) 663-4809.

Amy Blaising Wallace is licensed to practice in Michigan (license number 5101013086) 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 1356380950.

Contact Information

Amy Blaising Wallace, DO
1415 S Main St,
Eaton Rapids, MI 48827-1959
(517) 663-4809
Not Available

Map and Direction




Physician's Profile

Full NameAmy Blaising Wallace
GenderFemale
SpecialityFamily Practice
Experience29 Years
Location1415 S Main St, Eaton Rapids, Michigan
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:
  • Amy Blaising Wallace attended and graduated from Michigan State University College Of Osteopathic Medicine in 1996
  NPI Data:
  • NPI Number: 1356380950
  • Provider Enumeration Date: 06/06/2006
  • Last Update Date: 12/17/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 6507837903
  • Enrollment ID: I20040802000053

Medical Identifiers

Medical identifiers for Amy Blaising Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356380950NPI-NPPES
1356380950MedicaidMI
4628183TYPE11MedicaidMI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 5101013086 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sparrow Eaton HospitalCharlotte, MIHospital
Edward W Sparrow HospitalLansing, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sparrow Eaton Hospital004210350936

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. Amy Blaising Wallace allows following entities to bill medicare on her behalf.
Entity NameSparrow Eaton Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043419427
PECOS PAC ID: 0042103509
Enrollment ID: O20040213000368
Entity NameSparrow Eaton Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1942254529
PECOS PAC ID: 0042103509
Enrollment ID: O20040514000807

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. Amy Blaising 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
Amy Blaising Wallace, DO
3337 Britton Rd,
Perry, MI 48872-9706

Ph: (517) 625-3004		Amy Blaising Wallace, DO
1415 S Main St,
Eaton Rapids, MI 48827-1959

Ph: (517) 663-4809

Reviews and Comments


Family Medicine Doctors in Eaton Rapids, MI

Dr. Paul D Hankenson, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1501 Kyle St, Eaton Rapids, MI 48827
Phone: 517-663-3344    Fax: 517-663-1703
Dr. Jonathan Paul Wulff, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1501 Kyle Street, Eaton Rapids, MI 48827
Phone: 517-663-4821    Fax: 517-663-5650

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.