Dr John Wallace, MD in Phoenix, AZ - Medicare Anesthesiology

Dr John Wallace, MD is a medicare enrolled "Pain Medicine - Pain Medicine" physician in Phoenix, Arizona. He went to Michigan State University College Of Human Medicine and graduated in 2008 and has 18 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Center For Orthopedic Research And Education Llc and his current practice location is 9321 W Thomas Rd Ste 205, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (866) 974-2673.

Dr John Wallace is licensed to practice in Arizona (license number 52631) 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 1225292634.

Contact Information

	Dr John Wallace, MD
	9321 W Thomas Rd Ste 205, Phoenix, AZ 85037-3392
	(866) 974-2673
	(866) 939-2673

Map and Direction

Physician's Profile

Full Name	Dr John Wallace
Gender	Male
Speciality	Anesthesiology
Experience	18 Years
Location	9321 W Thomas Rd Ste 205, Phoenix, Arizona
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 John Wallace attended and graduated from Michigan State University College Of Human Medicine in 2008

NPI Data:

NPI Number: 1225292634
Provider Enumeration Date: 07/15/2008
Last Update Date: 04/16/2026

Medicare PECOS Information:

PECOS PAC ID: 4789834375
Enrollment ID: I20161003001633

Medical Identifiers

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

Identifier	Type	State	Issuer
1225292634	NPI	-	NPPES
190894	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	4301093046 (Michigan)	Secondary
208VP0000X	Pain Medicine - Pain Medicine	52631 (Arizona)	Primary
207L00000X	Anesthesiology	52631 (Arizona)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Core Institute Specialty Hospital, The	Phoenix, AZ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Center For Orthopedic Research And Education Llc	0345287322	255

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 John Wallace allows following entities to bill medicare on his behalf.

Entity Name	Valley Anesthesiology Consultants Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285660704 PECOS PAC ID: 4880591841 Enrollment ID: O20031217000620

Entity Name	Center For Orthopedic Research And Education Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427095801 PECOS PAC ID: 0345287322 Enrollment ID: O20050412000087

Entity Name	Capstone Medical Arizona Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225436694 PECOS PAC ID: 5597081109 Enrollment ID: O20150225002119

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 John 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 John Wallace, MD 1850 N Central Ave Ste 1600, Phoenix, AZ 85004-4633 Ph: (602) 262-8900	Dr John Wallace, MD 9321 W Thomas Rd Ste 205, Phoenix, AZ 85037-3392 Ph: (866) 974-2673

Reviews and Comments

Pain Medicine Doctors in Phoenix, AZ

Alfredo Bejarano Jr., Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 2121 W Indian School Rd, Phoenix, AZ 85015 Phone: 602-241-9105
Azizat Mojibola Dawodu, MD Pain Medicine Medicare: Medicare Enrolled Practice Location: 5777 E Mayo Blvd, Phoenix, AZ 85054 Phone: 480-515-6296
Mark Charles Spiro, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 645 E Missouri Ave Ste 300, Phoenix, AZ 85012 Phone: 602-262-8900 Fax: 602-262-8890
Mrs. Christina A Tretter, NP-C Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 1327 E Chandler Blvd, Ste 106, Phoenix, AZ 85048 Phone: 480-501-9475 Fax: 480-306-7674
Masoud Sultani, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 5501 N 19th Ave Ste 103, Phoenix, AZ 85015 Phone: 602-589-0500 Fax: 602-314-4552
Dr. Christopher Sung Wie, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 5777 E Mayo Blvd, Phoenix, AZ 85054 Phone: 480-301-8000
Dr. Jarrett Michael Leathem, D.O. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 2525 W Greenway Rd Ste 125, Phoenix, AZ 85023 Phone: 480-573-0130 Fax: 480-573-0131

Dr John Wallace, MD - Medicare Anesthesiology in Phoenix, AZ