Dr Daniel Leland Wallace, DO in Grand Rapids, MI

Dr Daniel Leland Wallace, DO is a medicare enrolled "Family Medicine" physician in Grand Rapids, Michigan. He went to Michigan State University College Of Osteopathic Medicine and graduated in 1992 and has 33 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Spectrum Health Hospitals and his current practice location is 275 Michigan St Ne, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 267-0800.

Dr Daniel Leland Wallace is licensed to practice in Michigan (license number 5101011648) 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 1275525875.

Contact Information

	Dr Daniel Leland Wallace, DO
	275 Michigan St Ne, Grand Rapids, MI 49503-2531
	(616) 267-0800
	(616) 267-0801

Map and Direction

Physician's Profile

Full Name	Dr Daniel Leland Wallace
Gender	Male
Speciality	Family Practice
Experience	33 Years
Location	275 Michigan St Ne, Grand Rapids, Michigan
Accepts Medicare Assignments	Yes. 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 Daniel Leland Wallace attended and graduated from Michigan State University College Of Osteopathic Medicine in 1992

NPI Data:

NPI Number: 1275525875
Provider Enumeration Date: 08/19/2005
Last Update Date: 01/22/2025

Medicare PECOS Information:

PECOS PAC ID: 5496841561
Enrollment ID: I20071019000640

Medical Identifiers

Medical identifiers for Dr Daniel Leland Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275525875	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	5101011648 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Spectrum Health	Grand rapids, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Spectrum Health Hospitals	8921904764	132

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 Daniel Leland Wallace allows following entities to bill medicare on his behalf.

Entity Name	Spectrum Health Primary Care Partners
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235188673 PECOS PAC ID: 4587568647 Enrollment ID: O20031121000091

Entity Name	Spectrum Health Hospitals
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558407189 PECOS PAC ID: 8921904764 Enrollment ID: O20040120000997

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 Daniel Leland 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
Dr Daniel Leland Wallace, DO 100 Michigan St Ne # Mc-845, Grand Rapids, MI 49503-2560 Ph: (616) 267-0800	Dr Daniel Leland Wallace, DO 275 Michigan St Ne, Grand Rapids, MI 49503-2531 Ph: (616) 267-0800

Reviews and Comments

Family Medicine Doctors in Grand Rapids, MI

Tammy Born Huizenga, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3700 52nd St Se, Grand Rapids, MI 49512 Phone: 616-656-3700 Fax: 616-656-3701
Kristi Kern, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4300 Cascade Rd Se, Grand Rapids, MI 49546 Phone: 616-252-1500 Fax: 616-252-1599
Melody L Fitzer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2700 Blackberry Ln Ne, Grand Rapids, MI 49525 Phone: 616-361-8697
Leslie Ann Schulte, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2249 Wealthy St Se Ste 110, Grand Rapids, MI 49506 Phone: 616-391-4600
Lucas Patrick Friedli, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4100 Lake Dr Se Ste B01, Grand Rapids, MI 49546 Phone: 616-267-7400
Michael J Septer, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2335 Burton St Se Ste 130, Grand Rapids, MI 49506 Phone: 616-956-9400 Fax: 616-956-9708
Dr. Suzanne Michelle West, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3800 Lake Michigan Dr Nw, Ste. A, Grand Rapids, MI 49534 Phone: 616-267-8225

Dr Daniel Leland Wallace, DO - Medicare Family Practice in Grand Rapids, MI