Dr James David Wallace, MD in San Diego, CA

Dr James David Wallace, MD is a medicare enrolled "Surgery - Trauma Surgery" physician in San Diego, California. His current practice location is 34800 Bob Wilson Dr, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (619) 532-7575.

Dr James David Wallace is licensed to practice in District Of Columbia (license number MD49240) 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 1730490277.

Contact Information

	Dr James David Wallace, MD
	34800 Bob Wilson Dr, San Diego, CA 92134-1894
	(619) 532-7575
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr James David Wallace
Gender	Male
Speciality	Surgery - Trauma Surgery
Location	34800 Bob Wilson Dr, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730490277
Provider Enumeration Date: 06/30/2010
Last Update Date: 08/11/2025

Medicare PECOS Information:

PECOS PAC ID: 3072863653
Enrollment ID: I20241211003719

Medical Identifiers

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

Identifier	Type	State	Issuer
1730490277	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	MD60918669 (Washington)	Secondary
2086S0127X	Surgery - Trauma Surgery	MD49240 (District Of Columbia)	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 James David Wallace allows following entities to bill medicare on his behalf.

Entity Name	Trauma Team Medical Group Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417907510 PECOS PAC ID: 6002977642 Enrollment ID: O20081202000088

Entity Name	On Call Specialists Medical Group Of San Diego Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962175836 PECOS PAC ID: 7911395231 Enrollment ID: O20211019001466

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 David 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 James David Wallace, MD Bldg H 2005 Knight Lane, Attn: Medical Staff Services, Jacksonville, FL 32212-0140 Ph: () -	Dr James David Wallace, MD 34800 Bob Wilson Dr, San Diego, CA 92134-1894 Ph: (619) 532-7575

Reviews and Comments

Surgery Doctors in San Diego, CA

Dr. Samuel R Obiekwe, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 113 W G St # 315, San Diego, CA 92101 Phone: 909-816-1032
Dr. Ahmed Sirageldin Suliman, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr # 8890, San Diego, CA 92103 Phone: 619-294-3746
Mathias John Kill, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 34730 Bob Wilson Dr, General Surgery Department, San Diego, CA 92134 Phone: 619-532-7575 Fax: 619-532-7673
Scott E. Greenway, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4647 Zion Ave, San Diego, CA 92120 Phone: 619-528-5000
Dr. Kristian L. Brown, M.D., PHD Surgery Medicare: Accepting Medicare Assignments Practice Location: 7910 Frost St, Suite 250, San Diego, CA 92123 Phone: 858-637-4800 Fax: 858-637-4801
Dr. Robert J Manly, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 8010 Frost St, San Diego, CA 92123 Phone: 858-939-8350 Fax: 858-939-8360
Dr. Michael Bouvet, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, Ucsd Medical Center, San Diego, CA 92103 Phone: 858-822-6191 Fax: 858-822-6192

Dr James David Wallace, MD - Medicare Surgery in San Diego, CA