David M Wallace, MD in Long Branch, NJ - Medicare Obstetrics & Gynecology

David M Wallace, MD is a medicare enrolled "Obstetrics & Gynecology - Maternal & Fetal Medicine" physician in Long Branch, New Jersey. His current practice location is 73 S Bath Ave, Long Branch, New Jersey. You can reach out to his office (for appointments etc.) via phone at (732) 870-3600.

David M Wallace is licensed to practice in New Jersey (license number 25MA04221200) 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 1336116656.

Contact Information

	David M Wallace, MD
	73 S Bath Ave, Long Branch, NJ 07740-5725
	(732) 870-3600
	(732) 870-0119

Map and Direction

Physician's Profile

Full Name	David M Wallace
Gender	Male
Speciality	Obstetrics & Gynecology - Maternal & Fetal Medicine
Location	73 S Bath Ave, Long Branch, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336116656
Provider Enumeration Date: 03/06/2006
Last Update Date: 10/14/2011

Medicare PECOS Information:

PECOS PAC ID: 7810899085
Enrollment ID: I20080903000610

Medical Identifiers

Medical identifiers for David M Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336116656	NPI	-	NPPES
2462907	Medicaid	NJ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207VM0101X	Obstetrics & Gynecology - Maternal & Fetal Medicine	25MA04221200 (New Jersey)	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. David M Wallace allows following entities to bill medicare on his behalf.

Entity Name	Barnabas Health Medical Group, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447206420 PECOS PAC ID: 0648172809 Enrollment ID: O20040127000361

Entity Name	Mmc Provider Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932647872 PECOS PAC ID: 9133555626 Enrollment ID: O20200131000598

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. David M 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
David M Wallace, MD Po Box 8000, Dept 596, Buffalo, NY 14267-0002 Ph: (866) 295-0041	David M Wallace, MD 73 S Bath Ave, Long Branch, NJ 07740-5725 Ph: (732) 870-3600

Reviews and Comments

Obstetrics & Gynecology Doctors in Long Branch, NJ

Nisha Malik, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 73 S Bath Ave, Long Branch, NJ 07740 Phone: 732-870-3600 Fax: 732-870-0119
Natalya Kugay, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 300 2nd Ave, Long Branch, NJ 07740 Phone: 732-923-6795
Dr. Saif Hossain, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 300 2nd Ave, Long Branch, NJ 07740 Phone: 732-923-6795 Fax: 732-923-6793
Arnav Vasudeva, DO Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 300 2nd Ave Rm 215sw, Long Branch, NJ 07740 Phone: 732-923-6795
Dr. Raksha Joshi, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 270 Broadway, Long Branch, Long Branch, NJ 07740 Phone: 732-923-7146 Fax: 732-923-7129
Zara Hazavei, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 300 2nd Ave, Long Branch, NJ 07740 Phone: 732-923-6795 Fax: 732-923-6793
Carl Nath, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 73 S Bath Ave, Long Branch, NJ 07740 Phone: 732-870-3600 Fax: 732-870-0119

David M Wallace, MD - Medicare Obstetrics & Gynecology in Long Branch, NJ