Diane Elizabeth Wallis, MD in Carmel, IN - Medicare Internal Medicine

Diane Elizabeth Wallis, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Carmel, Indiana. Her current practice location is 13905 Grisham Dr, Carmel, Indiana. You can reach out to her office (for appointments etc.) via phone at (630) 310-2118.

Diane Elizabeth Wallis is licensed to practice in Indiana (license number 01091007A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1659323574.

Contact Information

	Diane Elizabeth Wallis, MD
	13905 Grisham Dr, Carmel, IN 46033-0026
	(630) 310-2118
	Not Available

Map and Direction

Physician's Profile

Full Name	Diane Elizabeth Wallis
Gender	Female
Speciality	Internal Medicine - Cardiovascular Disease
Location	13905 Grisham Dr, Carmel, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659323574
Provider Enumeration Date: 05/17/2006
Last Update Date: 02/09/2026

Medicare PECOS Information:

PECOS PAC ID: 1153222443
Enrollment ID: I20040424000277

Medical Identifiers

Medical identifiers for Diane Elizabeth Wallis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659323574	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0000X	Internal Medicine - Cardiovascular Disease	01091007A (Indiana)	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. Diane Elizabeth Wallis allows following entities to bill medicare on her behalf.

Entity Name	Advocate Health And Hospitals Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064

Entity Name	Central Dupage Hospital Association
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003864810 PECOS PAC ID: 0941108666 Enrollment ID: O20031231000723

Entity Name	Edward Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013969013 PECOS PAC ID: 0042108110 Enrollment ID: O20040309001279

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. Diane Elizabeth Wallis 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
Diane Elizabeth Wallis, MD 13905 Grisham Dr, Carmel, IN 46033-0026 Ph: (630) 268-1102	Diane Elizabeth Wallis, MD 13905 Grisham Dr, Carmel, IN 46033-0026 Ph: (630) 310-2118

Reviews and Comments

Internal Medicine Doctors in Carmel, IN

Shania Grace Mayer, PA-C Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 10300 N Illinois St Ste 1100, Carmel, IN 46290 Phone: 317-944-0980
Robert Mark Kinn, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 13806 Stone Dr, Carmel, IN 46032 Phone: 317-893-1900
Olivia Ann Fondoble, M.D. Cardiovascular Disease Medicare: May Accept Medicare Assignments Practice Location: 13430 N Meridian St Ste 280, Carmel, IN 46032 Phone: 317-582-8030
Dr. Peter Jerome Bustamante, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 13450 N Meridian St Ste 354, Carmel, IN 46032 Phone: 317-338-5100
Thomas L Hutchinson, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 11725 Illinois Street, Suite 465, Carmel, IN 46032 Phone: 317-817-0010 Fax: 317-817-0012
Eric Bain, Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 10590 N Meridian St, Carmel, IN 46290 Phone: 317-338-6666
Chintan J Amin, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 11725 Illinois St Ste 325, Carmel, IN 46032 Phone: 317-688-5800 Fax: 317-688-5805

Diane Elizabeth Wallis, MD - Medicare Internal Medicine in Carmel, IN