Dr Michael C Wallis, MD in Salt Lake City, UT

Dr Michael C Wallis, MD is a medicare enrolled "Urology" physician in Salt Lake City, Utah. He went to Ohio State University College Of Medicine and graduated in 1999 and has 26 years of diverse experience with area of expertise as Urology. He is a member of the group practice University Of Utah Pediatric Services, University Of Utah Pediatric Services and his current practice location is 100 Mario Capecchi Dr, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 662-5555.

Dr Michael C Wallis is licensed to practice in Utah (license number 6078212-1205) 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 1558384388.

Contact Information

	Dr Michael C Wallis, MD
	100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103
	(801) 662-5555
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Michael C Wallis
Gender	Male
Speciality	Urology
Experience	26 Years
Location	100 Mario Capecchi Dr, Salt Lake City, Utah
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 Michael C Wallis attended and graduated from Ohio State University College Of Medicine in 1999

NPI Data:

NPI Number: 1558384388
Provider Enumeration Date: 07/25/2006
Last Update Date: 12/16/2021

Medicare PECOS Information:

PECOS PAC ID: 6406856046
Enrollment ID: I20070105000192

Medical Identifiers

Medical identifiers for Dr Michael C Wallis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558384388	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2088P0231X	Urology - Pediatric Urology	M-13870 (Idaho)	Secondary
208800000X	Urology	6078212-1205 (Utah)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Of Utah Pediatric Services	0547552473	68
University Of Utah Pediatric Services	0547552473	68

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 Michael C Wallis allows following entities to bill medicare on his behalf.

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079

Entity Name	University Of Utah Adult Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683

Entity Name	University Of Utah Pediatric Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487018974 PECOS PAC ID: 0547552473 Enrollment ID: O20160713000371

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 Michael C Wallis 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 Michael C Wallis, MD Po Box 413035, Salt Lake City, UT 84141-3035 Ph: (801) 213-3900	Dr Michael C Wallis, MD 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 Ph: (801) 662-5555

Reviews and Comments

Urology Doctors in Salt Lake City, UT

Dr. Stephen James Summers, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 30 N 1900 E, Rm 3b420, Salt Lake City, UT 84132 Phone: 801-213-2700 Fax: 801-585-2891
Benjamin James Mccormick, Urology Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-213-2704 Fax: 801-585-2891
Leah Stoehr, APRN Urology Medicare: Medicare Enrolled Practice Location: 100 N Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-5555
John Evan Thomas, PA-C Urology Medicare: Accepting Medicare Assignments Practice Location: 30 N 1900 E Rm 3b420, Salt Lake City, UT 84132 Phone: 801-213-2700 Fax: 801-585-2891
Spencer Burton Tingey, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 30 N Mario Capecchi Drive, Salt Lake City, UT 84112 Phone: 801-581-7304
Dr. Raymond Tyler Yong, MD Urology Medicare: Medicare Enrolled Practice Location: 30 North Mario Capecchi Drive Room 4s100, Salt Lake City, UT 84132 Phone: 414-955-0880
Colton K. Leavitt, MD Urology Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Rm 3b427, Salt Lake City, UT 84132 Phone: 801-213-2718

Dr Michael C Wallis, MD - Medicare Urology in Salt Lake City, UT