Dr David Michael Wallace Sr, MD in Hampton, VA

Dr David Michael Wallace Sr, MD is a medicare enrolled "Family Medicine" physician in Hampton, Virginia. He graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Ivyrehab Sept, Llc, Sentara Medical Group, Ivyrehab Sept, Llc and his current practice location is 200 Eaton St, Hampton, Virginia. You can reach out to his office (for appointments etc.) via phone at (757) 726-5000.

Dr David Michael Wallace Sr is licensed to practice in Virginia (license number 0101269450) 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 1134285810.

Contact Information

	Dr David Michael Wallace Sr, MD
	200 Eaton St, Hampton, VA 23669-4000
	(757) 726-5000
	(757) 726-5001

Map and Direction

Physician's Profile

Full Name	Dr David Michael Wallace Sr
Gender	Male
Speciality	Family Practice
Experience	29 Years
Location	200 Eaton St, Hampton, Virginia
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 David Michael Wallace Sr graduated from medical school in 1995

NPI Data:

NPI Number: 1134285810
Provider Enumeration Date: 12/28/2006
Last Update Date: 09/18/2020

Medicare PECOS Information:

PECOS PAC ID: 1759504582
Enrollment ID: I20200904001019

Medical Identifiers

Medical identifiers for Dr David Michael Wallace Sr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134285810	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	043144 (Georgia)	Secondary
207Q00000X	Family Medicine	0101269450 (Virginia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Sentara Home Care Services-suffolk	Suffolk, VA	Home health agency
Sentara Obici Hospital	Suffolk, VA	Hospital
Sentara Careplex Hospital	Hampton, VA	Hospital
Riverside Regional Medical Center	Newport news, VA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ivyrehab Sept, Llc	7911990908	1137
Sentara Medical Group	8921903923	1058
Ivyrehab Sept, Llc	7911990908	1137

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 David Michael Wallace Sr allows following entities to bill medicare on his behalf.

Entity Name	Sentara Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265485270 PECOS PAC ID: 8921903923 Enrollment ID: O20031203000466

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 David Michael Wallace Sr 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 David Michael Wallace Sr, MD 200 Eaton St, Hampton, VA 23669-4000 Ph: (757) 726-5000	Dr David Michael Wallace Sr, MD 200 Eaton St, Hampton, VA 23669-4000 Ph: (757) 726-5000

Reviews and Comments

Family Medicine Doctors in Hampton, VA

Robin Quisenberry Olsen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4000 Coliseum Dr Ste 445, Hampton, VA 23666 Phone: 757-827-2127
Jennifer A Mccord, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 9 Manhattan Sq, Suite A, Hampton, VA 23666 Phone: 757-838-6335 Fax: 757-838-0612
Dr. Derrick Whiting, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2205 Executive Dr Ste C, Hampton, VA 23666 Phone: 757-826-3460 Fax: 757-826-5123
Dr. Harriett N Jones, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2117 Hartford Rd, Hampton, VA 23666 Phone: 757-825-4273 Fax: 757-825-4276
Jamie Leigh King, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 191 Fox Hill Rd Ste D, Hampton, VA 23669 Phone: 757-850-7315
Dr. Lawrence Craig Hyman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2205 Executive Dr Ste C, Hampton, VA 23666 Phone: 757-826-3460 Fax: 757-826-5123

Dr David Michael Wallace Sr, MD - Medicare Family Practice in Hampton, VA