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 14 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Ssm Health Care Group, Baycare Aurora Llc, Sonoran Radiology Ltd, Zwanger And Pesiri Radiology Group Llp, Columbia St Marys Hospital Milwaukee Inc, Associated Valley Radiologists Ltd, Banner Imaging Services Llc, Associated Valley Radiologists Ltd, Zwanger And Pesiri Radiology Group Llp, Carle West Physician Group Inc 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
Experience14 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: I20150514000606

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
Banner Thunderbird Medical CenterGlendale, AZHospital
St Louis University HospitalSaint louis, MOHospital
Banner Estrella Medical CenterPhoenix, AZHospital
Aurora Baycare Medical CtrGreen bay, WIHospital
Ascension Columbia St Mary's Hospital MilwaukeeMilwaukee, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ssm Health Care Group0143608372678
Baycare Aurora Llc0244130557173
Sonoran Radiology Ltd3375964505367
Zwanger And Pesiri Radiology Group Llp509270079980
Columbia St Marys Hospital Milwaukee Inc5890604722279
Associated Valley Radiologists Ltd832538849941
Banner Imaging Services Llc185072438690
Associated Valley Radiologists Ltd832538849941
Zwanger And Pesiri Radiology Group Llp509270079980
Carle West Physician Group Inc8921420308254

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 NameWashington University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962442475
PECOS PAC ID: 9830008770
Enrollment ID: O20031204000987
Entity NameSsm Health Care Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306589544
PECOS PAC ID: 0143608372
Enrollment ID: O20220531002655

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


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Christopher Vittore,
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Martin Butler, MD
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Steven L Schneider, MD
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Dr. Kevin John Nguyen, MD
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Gustavo A Espinosa, MD
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Virendra Saxena,
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Hyungmin Kang, MD
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Phone: 815-489-4760    

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).

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