| Dr Nicholas Wallace, MD | |
|
3016 Barclay Way, Ann Arbor, MI 48105-9464 | |
| (616) 309-3319 | |
| Not Available |
| Full Name | Dr Nicholas Wallace |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 9 Years |
| Location | 3016 Barclay Way, Ann Arbor, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780033928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 4301110098 (Michigan) | Secondary |
| 207X00000X | Orthopaedic Surgery | 75714 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Methodist Hospitals Inc | Gary, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rci (wrs), Llc. | 5092624510 | 362 |
| The Methodist Hospitals Inc | 9638063894 | 105 |
| Entity Name | The Methodist Hospitals Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720290349 PECOS PAC ID: 9638063894 Enrollment ID: O20040210000526 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nicholas Wallace, MD 3016 Barclay Way, Ann Arbor, MI 48105-9464 Ph: () - | Dr Nicholas Wallace, MD 3016 Barclay Way, Ann Arbor, MI 48105-9464 Ph: (616) 309-3319 |
John David Blaha, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 24 Frank Lloyd Wright Dr, Lobby A, Ann Arbor, MI 48105 Phone: 734-930-7400 | |
Elizabeth Ann Dailey, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000 | |
Davin Gong, Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1500 E Medical Center Dr Spc 5328, Ann Arbor, MI 48109 Phone: 734-232-9432 | |
Kempland Walley, Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1500 E Medical Center Dr Spc 5328, Ann Arbor, MI 48109 Phone: 734-232-9432 | |
Vandan Dilip Patel, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2098 S Main St, Ann Arbor, MI 48103 Phone: 734-936-5780 | |
Colin Whitaker, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1500 E Medical Center Dr Spc 5328, Ann Arbor, MI 48109 Phone: 734-232-9432 | |
Dr. Daniel Rives Bowles, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4320 |