David Wallace, DO - Medicare Anesthesiology in Draper, UT

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David Wallace, DO is a medicare enrolled "Anesthesiology" physician in Draper, Utah. He went to Michigan State University College Of Osteopathic Medicine and graduated in 1986 and has 38 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Associated Anesthesiologists Of Fort Wayne, Pc and his current practice location is 738 Golden Pheasant Dr, Draper, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 403-7980.

David Wallace is licensed to practice in Utah (license number 272263-1205) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1932193604.

Contact Information

David Wallace, DO
738 Golden Pheasant Dr,
Draper, UT 84020-8454
(801) 403-7980
Not Available

Map and Direction




Physician's Profile

Full NameDavid Wallace
GenderMale
SpecialityAnesthesiology
Experience38 Years
Location738 Golden Pheasant Dr, Draper, Utah
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • David Wallace attended and graduated from Michigan State University College Of Osteopathic Medicine in 1986
  NPI Data:
  • NPI Number: 1932193604
  • Provider Enumeration Date: 09/08/2005
  • Last Update Date: 10/10/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 8527952894
  • Enrollment ID: I20080128000791

Medical Identifiers

Medical identifiers for David Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932193604NPI-NPPES
D4253MedicaidUT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology 272263-1205 (Utah)Primary
207L00000XAnesthesiology 5101010132 (Michigan)Secondary
207L00000XAnesthesiology 15448 (Mississippi)Secondary
207L00000XAnesthesiology O-168 (Idaho)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Dupont Hospital LlcFort wayne, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Associated Anesthesiologists Of Fort Wayne, Pc2264412444102

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 Wallace allows following entities to bill medicare on his behalf.
Entity NameAssociated Anesthesiologists Of Fort Wayne, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538159140
PECOS PAC ID: 2264412444
Enrollment ID: O20040720001562
Entity NameApollo Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396179461
PECOS PAC ID: 3072741370
Enrollment ID: O20140113001443
Entity NameUnified Anesthesia Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093192882
PECOS PAC ID: 8628376068
Enrollment ID: O20160418001990
Entity NameApollo Medical Group Of Lake George Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467067579
PECOS PAC ID: 1355751678
Enrollment ID: O20201027002860

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 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
David Wallace, DO
738 Golden Pheasant Dr,
Draper, UT 84020-8454

Ph: (801) 403-7980		David Wallace, DO
738 Golden Pheasant Dr,
Draper, UT 84020-8454

Ph: (801) 403-7980

Reviews and Comments


Anesthesiology Doctors in Draper, UT

Justin Curtis, APRN-CRNA
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Phone: 801-233-9300    
Dr. Benjamin Metcalfe, D.O.
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Craig Johnson, D.O.
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Tony Gianoulis, MD, MHA
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Practice Location: 96 E Kimballs Ln, Draper, UT 84020
Phone: 801-641-7396    
Dr. Benjamin A Rideout, DO
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Practice Location: 1733 Kudu Ct, Draper, UT 84020
Phone: 801-572-8215    

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.