Dr James Michael Wallace, MD - Medicare Emergency Medicine in Salt Lake City, UT

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Dr James Michael Wallace, MD is a medicare enrolled "Emergency Medicine" physician in Salt Lake City, Utah. He went to Oregon Health Sciences University School Of Medicine and graduated in 2008 and has 17 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Northwest Emergency Physicians Llc and his current practice location is 1528 Laird Ave, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (503) 475-8549.

Dr James Michael Wallace is licensed to practice in Washington (license number MD60247504) 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 1477707685.

Contact Information

Dr James Michael Wallace, MD
1528 Laird Ave,
Salt Lake City, UT 84105-1730
(503) 475-8549
Not Available

Map and Direction




Physician's Profile

Full NameDr James Michael Wallace
GenderMale
SpecialityEmergency Medicine
Experience17 Years
Location1528 Laird Ave, Salt Lake City, Utah
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 James Michael Wallace attended and graduated from Oregon Health Sciences University School Of Medicine in 2008
  NPI Data:
  • NPI Number: 1477707685
  • Provider Enumeration Date: 11/14/2008
  • Last Update Date: 10/23/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4082807136
  • Enrollment ID: I20111216000359

Medical Identifiers

Medical identifiers for Dr James Michael Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477707685NPI-NPPES
MD13915OtherRIMEDICAL LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 7471598-1205 (Utah)Secondary
207P00000XEmergency Medicine MD60247504 (Washington)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Skagit Valley HospitalMount vernon, WAHospital
St Joseph HospitalBellingham, WAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northwest Emergency Physicians Llc3476462334217

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 James Michael Wallace allows following entities to bill medicare on his behalf.
Entity NameSouth Sound Inpatient Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023285756
PECOS PAC ID: 5991618738
Enrollment ID: O20031107000668
Entity NameCogent Healthcare Of Washington, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861430522
PECOS PAC ID: 2062306350
Enrollment ID: O20040209000839
Entity NameNorthwest Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235172370
PECOS PAC ID: 3476462334
Enrollment ID: O20041214000892
Entity NameSound Physicians Emergency Medicine Of Washington Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629532064
PECOS PAC ID: 7315279007
Enrollment ID: O20191030000855

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 James Michael 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 James Michael Wallace, MD
821 S 600 E,
Salt Lake City, UT 84102-3507

Ph: (503) 475-8549		Dr James Michael Wallace, MD
1528 Laird Ave,
Salt Lake City, UT 84105-1730

Ph: (503) 475-8549

Reviews and Comments


Emergency Medicine Doctors in Salt Lake City, UT

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Lindsey L. Fell, MD
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Jeffrey Druck, MD
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Joshua A. Berko, DO
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Kristen Jahn, MD
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Phone: 801-350-4111    

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.