Dr Adam N Wallace, MD - Medicare Diagnostic Radiology in Rockford, IL

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Dr Adam N Wallace, MD is a medicare enrolled "Radiology - Neuroradiology" physician in Rockford, Illinois. He went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 2010 and has 15 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Columbia St Marys Hospital Milwaukee Inc, Associated Valley Radiologists Ltd, Banner Imaging Services Llc, Associated Valley Radiologists Ltd and his current practice location is 8201 East Riverside Boulevard, Mercy Health Javon Bae Hospital, Rockford, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 971-5000.

Dr Adam N Wallace is licensed to practice in Illinois (license number 036.148822) 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 1801117585.

Contact Information

Dr Adam N Wallace, MD
8201 East Riverside Boulevard, Mercy Health Javon Bae Hospital,
Rockford, IL 61114-2300
(815) 971-5000
Not Available

Map and Direction




Physician's Profile

Full NameDr Adam N Wallace
GenderMale
SpecialityDiagnostic Radiology
Experience15 Years
Location8201 East Riverside Boulevard, Rockford, Illinois
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:
  • Dr Adam N Wallace attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 2010
  NPI Data:
  • NPI Number: 1801117585
  • Provider Enumeration Date: 06/17/2010
  • Last Update Date: 12/15/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4486883014
  • Enrollment ID: I20190509000180

Medical Identifiers

Medical identifiers for Dr Adam N Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801117585NPI-NPPES
200021565MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085N0700XRadiology - Neuroradiology 70505-20 (Wisconsin)Secondary
2085N0700XRadiology - Neuroradiology 61898 (Minnesota)Secondary
2085R0202XRadiology - Diagnostic Radiology DR.0068906 (Colorado)Secondary
2085R0202XRadiology - Diagnostic Radiology 2015013114 (Missouri)Secondary
2085R0202XRadiology - Diagnostic Radiology 319983 (New York)Secondary
2085R0202XRadiology - Diagnostic Radiology 036.148822 (Illinois)Secondary
2085N0700XRadiology - Neuroradiology 036.148822 (Illinois)Primary
2084N0400XPsychiatry & Neurology - Neurology 70505 (Wisconsin)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ascension Columbia St Mary's Hospital MilwaukeeMilwaukee, WIHospital
Ascension Se Wisconsin Hospital - St Joseph CampusMilwaukee, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Columbia St Marys Hospital Milwaukee Inc5890604722299
Associated Valley Radiologists Ltd832538849969
Banner Imaging Services Llc1850724386112
Associated Valley Radiologists Ltd832538849969

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. Dr Adam N Wallace allows following entities to bill medicare on his behalf.
Entity NameColumbia St Marys Hospital Milwaukee Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023064482
PECOS PAC ID: 5890604722
Enrollment ID: O20031105000057
Entity NameMercy Health System Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598718603
PECOS PAC ID: 7416860440
Enrollment ID: O20031113000164
Entity NameBaycare Aurora Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255387726
PECOS PAC ID: 0244130557
Enrollment ID: O20051012000579
Entity NameZwanger & Pesiri Radiology Group Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477523413
PECOS PAC ID: 5092700799
Enrollment ID: O20190415002356
Entity NameSonoran Radiology Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033745708
PECOS PAC ID: 3375964505
Enrollment ID: O20201105000714
Entity NameAssociated Valley Radiologists Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932683257
PECOS PAC ID: 8325388499
Enrollment ID: O20220729001836
Entity NameDiagnostic Imaging Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194807271
PECOS PAC ID: 9133183213
Enrollment ID: O20230816001195
Entity NameBanner Imaging Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780430447
PECOS PAC ID: 1850724386
Enrollment ID: O20250224000582

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. Dr Adam N 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
Dr Adam N Wallace, MD
2301 N Lake Dr Ste 1104,
Milwaukee, WI 53211-4508

Ph: (414) 585-3223		Dr Adam N Wallace, MD
8201 East Riverside Boulevard, Mercy Health Javon Bae Hospital,
Rockford, IL 61114-2300

Ph: (815) 971-5000

Reviews and Comments


Radiology Doctors in Rockford, IL

Dr. Alix Vincent, MD
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Practice Location: 8201 E Riverside Blvd, Rockford, IL 61114
Phone: 815-971-7000    
Christopher Vittore,
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Martin Butler, MD
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Karl E. Magsamen, M.D.
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Practice Location: 8201 E Riverside Blvd, Rockford, IL 61114
Phone: 815-971-7000    
Esther Lee, D.O.
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Practice Location: 8201 E Riverside Blvd, Rockford, IL 61114
Phone: 815-971-7000    
Steven L Schneider, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 2400 N Rockton Ave, Rockford, IL 61103
Phone: 815-971-6205    Fax: 815-636-1771
Dr. Sean Alexander Feinberg, MD
Radiology
Medicare: May Accept Medicare Assignments
Practice Location: 8201 E Riverside Blvd, Rockford, IL 61114
Phone: 815-971-7000    

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.

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