Brendan Wallace, MD - Medicare Urology in Bangor, ME

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Brendan Wallace, MD is a medicare enrolled "Urology" physician in Bangor, Maine. His current practice location is 55 Broadway, Bangor, Maine. You can reach out to his office (for appointments etc.) via phone at (207) 947-0469.

Brendan Wallace is licensed to practice in Maine (license number MD25666) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1164159257.

Contact Information

Brendan Wallace, MD
55 Broadway,
Bangor, ME 04401-5201
(207) 947-0469
Not Available

Map and Direction




Physician's Profile

Full NameBrendan Wallace
GenderMale
SpecialityUrology
Location55 Broadway, Bangor, Maine
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164159257
  • Provider Enumeration Date: 08/08/2022
  • Last Update Date: 08/08/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7214312941
  • Enrollment ID: I20220916001495

Medical Identifiers

Medical identifiers for Brendan Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164159257NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology MD25666 (Maine)Primary

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. Brendan Wallace allows following entities to bill medicare on his behalf.
Entity NameEastern Maine Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790789147
PECOS PAC ID: 2062315161
Enrollment ID: O20040128000088
Entity NameSt Joseph Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154321545
PECOS PAC ID: 6406766336
Enrollment ID: O20040604000895
Entity NameEastern Maine Healthcare Systems Inland Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376579557
PECOS PAC ID: 6305817503
Enrollment ID: O20040802001656

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. Brendan 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
Brendan Wallace, MD
98 Fountain St,
Bangor, ME 04401-3848

Ph: (613) 806-2243		Brendan Wallace, MD
55 Broadway,
Bangor, ME 04401-5201

Ph: (207) 947-0469

Reviews and Comments


Urology Doctors in Bangor, ME

Dr. Ali Khavari, M.D.
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 55 Broadway, Suite 2, Bangor, ME 04401
Phone: 207-973-8881    Fax: 207-947-5368
Curtis P. Ross, D.O.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 55 Broadway Ste 2, Bangor, ME 04401
Phone: 207-947-0469    Fax: 207-947-5368
Dr. Jonas Gricius, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 55 Broadway Fl 2, Bangor, ME 04401
Phone: 207-947-0469    Fax: 207-947-5368

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.