Dr Nicolai Lynge Wallace, MD in San Diego, CA

Dr Nicolai Lynge Wallace, MD is a medicare enrolled "Hospitalist" physician in San Diego, California. His current practice location is 200 W Arbor Dr, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (619) 543-6268.

Dr Nicolai Lynge Wallace is licensed to practice in California (license number A194552) 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 1588241863.

Contact Information

	Dr Nicolai Lynge Wallace, MD
	200 W Arbor Dr, San Diego, CA 92103-9000
	(619) 543-6268
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Nicolai Lynge Wallace
Gender	Male
Speciality	Hospitalist
Location	200 W Arbor 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: 1588241863
Provider Enumeration Date: 03/24/2021
Last Update Date: 07/30/2024

Medicare PECOS Information:

PECOS PAC ID: 6608311352
Enrollment ID: I20240717003190

Medical Identifiers

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

Identifier	Type	State	Issuer
1588241863	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	A194552 (California)	Secondary
208M00000X	Hospitalist	A194552 (California)	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 Nicolai Lynge Wallace allows following entities to bill medicare on his behalf.

Entity Name	Scripps Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275899072 PECOS PAC ID: 9234033853 Enrollment ID: O20031124000822

Entity Name	24 On Physicians Of California Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730570565 PECOS PAC ID: 7012228992 Enrollment ID: O20150618001426

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 Nicolai Lynge 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 Nicolai Lynge Wallace, MD 200 W Arbor Dr, San Diego, CA 92103-9000 Ph: (858) 657-7000	Dr Nicolai Lynge Wallace, MD 200 W Arbor Dr, San Diego, CA 92103-9000 Ph: (619) 543-6268

Reviews and Comments

Hospitalist Doctors in San Diego, CA

Omar Mahmoud Aldaas, M.D. Hospitalist Medicare: Medicare Enrolled Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 619-543-6268
Dr. Todd M. Hitchcock, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3811 Valley Centre Dr, San Diego, CA 92130 Phone: 858-764-3110
Marina Valeryevna Levin, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273
Dr. Diana Jane Childers, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273
Dr. Ramez A Ghabour, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 858-249-6751
Emma Aislin Mulligan, Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 303-883-7220
Dr. Erica Blossom Feldman, MD, MPH Hospitalist Medicare: Medicare Enrolled Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 619-543-6268 Fax: 619-543-6529

Dr Nicolai Lynge Wallace, MD - Medicare Hospitalist in San Diego, CA