Dr Diana Renee Wallace, MD in Rome, NY - Medicare Obstetrics & Gynecology

Dr Diana Renee Wallace, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Rome, New York. Her current practice location is 7900 Turin Road, Building 4, Suite 2, Rome, New York. You can reach out to her office (for appointments etc.) via phone at (315) 338-7284.

Dr Diana Renee Wallace is licensed to practice in New York (license number 255422) 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 1710993845.

Contact Information

	Dr Diana Renee Wallace, MD
	7900 Turin Road, Building 4, Suite 2, Rome, NY 13440-7423
	(315) 338-7284
	(315) 338-7286

Map and Direction

Physician's Profile

Full Name	Dr Diana Renee Wallace
Gender	Female
Speciality	Obstetrics & Gynecology
Location	7900 Turin Road, Rome, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710993845
Provider Enumeration Date: 07/31/2006
Last Update Date: 11/05/2015

Medicare PECOS Information:

PECOS PAC ID: 6103998257
Enrollment ID: I20100223000272

Medical Identifiers

Medical identifiers for Dr Diana Renee Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710993845	NPI	-	NPPES
2039121	Other	PA	HIGHMARK BLUE SHIELD
212422	Other	PA	JOHNS HOPKINS
118476	Other	PA	GEISINGER HEALTH PLAN
1572573	Other	PA	GATEWAY-WMG
932354	Other	MD	CAREFIRST MD BCBS
50077199	Other	PA	CAPITAL BLUE CROSS-WMG
92199182	Other	PA	AETNA
20076171	Other	PA	AMERIHEALTH MERCY-WMG

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	MD 433457 (Pennsylvania)	Secondary
207V00000X	Obstetrics & Gynecology	255422 (New York)	Primary
207V00000X	Obstetrics & Gynecology	MD 2015-0031 (New Mexico)	Secondary

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 Diana Renee Wallace allows following entities to bill medicare on her behalf.

Entity Name	Rome Memorial Hospital, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376546440 PECOS PAC ID: 9638087273 Enrollment ID: O20040719001470

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 Diana Renee 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 Diana Renee Wallace, MD 7900 Turin Road, Building 4, Suite 2, Rome, NY 13440-7423 Ph: (315) 338-7284	Dr Diana Renee Wallace, MD 7900 Turin Road, Building 4, Suite 2, Rome, NY 13440-7423 Ph: (315) 338-7284

Reviews and Comments

Obstetrics & Gynecology Doctors in Rome, NY

Courtney Nicole Pineau, M.D Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1614 N James St, Rome, NY 13440 Phone: 315-338-7284 Fax: 315-338-7286
Dr. Lauren Ann Giustra, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 107 East Chestnut Street, Rome, NY 13440 Phone: 315-334-9663 Fax: 315-334-1194
Mrs. Nancy S Peek, CNM NP Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 8080 Turin Rd, Rome, NY 13440 Phone: 315-336-4721 Fax: 315-339-4828
Dr. Ankur Desai, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 107 East Chestnut St, Rome, NY 13440 Phone: 315-334-9663 Fax: 315-334-1194

Dr Diana Renee Wallace, MD - Medicare Obstetrics & Gynecology in Rome, NY