Dr Graham Wilson Wallace, MD - Medicare Radiology in Apo, AE

Dr Graham Wilson Wallace, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Apo, Armed Forces Europe. His current practice location is Raf Lakenheath 48 Mdg/sgcr, Unit 5210 Box 230, Apo, Armed Forces Europe. You can reach out to his office (for appointments etc.) via phone at (011) 441-638528124.

Dr Graham Wilson Wallace is licensed to practice in Indiana (license number 01051128A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1063499267.

Contact Information

Raf Lakenheath 48 Mdg/sgcr
Unit 5210 Box 230
Apo
AE 09461-0230
(011) 441-638528124
Not Available

Map and Direction




Physician's Profile

Full NameDr Graham Wilson Wallace
GenderMale
SpecialityRadiology - Diagnostic Radiology
LocationApo, Armed Forces Europe
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063499267
  • Provider Enumeration Date: 12/29/2005
  • Last Update Date: 07/17/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 7012200132
  • Enrollment ID: I20160727002064

Medical Identifiers

Medical identifiers for Dr Graham Wilson Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063499267NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 01051128A (Indiana)Secondary
2085R0202XRadiology - Diagnostic Radiology 01051128A (Indiana)Primary

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 Graham Wilson Wallace allows following entities to bill medicare on his behalf.
Entity NameUniversity Of California Sfgh Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063487122
PECOS PAC ID: 5496668410
Enrollment ID: O20031106000503
Entity NameUniversity Of California San Francisco Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861578973
PECOS PAC ID: 4486567229
Enrollment ID: O20031212000897
Entity NameUcsf Medical Group Business Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477624104
PECOS PAC ID: 3779497870
Enrollment ID: O20040622001513

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 Graham Wilson 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 Graham Wilson Wallace, MD
Raf Lakenheath 48 Mdg/sgcr
Unit 5210 Box 230
Apo
AE 09461-0230

Ph: (011) 441-638528124
Dr Graham Wilson Wallace, MD
Raf Lakenheath 48 Mdg/sgcr
Unit 5210 Box 230
Apo
AE 09461-0230

Ph: (011) 441-638528124

Reviews and Comments

Radiology Doctors in Apo, AE

Dr. Marc Tubay, M.D.
Radiology
Medicare: Medicare Enrolled
Practice Location: Raf Lakenheath 48 Mdg/sghc, Unit 5115, Apo, AE 09461
Phone: 314-226-8124    
Kelly David Gage, MD
Radiology
Medicare: Medicare Enrolled
Practice Location: Raf Lakenheath 48 Mdg/sghc, Unit 5115, Apo, AE 09461
Phone: 314-226-8124    
Dr. Neel Kumarpal Vaidya, M.D.
Radiology
Medicare: Medicare Enrolled
Practice Location: Cmr 402 Box 1234, Landstuhl Regional Medical Center, Apo, AE 09180
Phone: 496-371-868155    
Dr. Johan K. Ahn, MD
Radiology
Medicare: Medicare Enrolled
Practice Location: 31 Amds, Unit 6180, Apo, AE 09604
Phone: 312-226-8852    

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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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