Ellen Wallace, MD in Albany, CA - Medicare Family Medicine

Ellen Wallace, MD is a medicare enrolled "Family Medicine" physician in Albany, California. Her current practice location is 500 San Pablo Ave, Albany, California. You can reach out to her office (for appointments etc.) via phone at (510) 204-8130.

Ellen Wallace is licensed to practice in California (license number A191094) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1427685734.

Contact Information

	Ellen Wallace, MD
	500 San Pablo Ave, Albany, CA 94706-1103
	(510) 204-8130
	Not Available

Map and Direction

Physician's Profile

Full Name	Ellen Wallace
Gender	Female
Speciality	Family Medicine
Location	500 San Pablo Ave, Albany, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427685734
Provider Enumeration Date: 03/25/2020
Last Update Date: 02/06/2024

Medicare PECOS Information:

PECOS PAC ID: 6507248671
Enrollment ID: I20231107002759

Medical Identifiers

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

Identifier	Type	State	Issuer
1427685734	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	A191094 (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. Ellen Wallace allows following entities to bill medicare on her behalf.

Entity Name	Sutter Bay Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909

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. Ellen 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
Ellen Wallace, MD 22 Dustin St Apt 1, Worcester, MA 01604-6006 Ph: () -	Ellen Wallace, MD 500 San Pablo Ave, Albany, CA 94706-1103 Ph: (510) 204-8130

Reviews and Comments

Family Medicine Doctors in Albany, CA

Fumi Louise Suzuki, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 San Pablo Ave, Albany, CA 94706 Phone: 510-204-8130 Fax: 510-524-0861
Nina R Birnbaum, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 San Pablo Ave, Albany, CA 94706 Phone: 510-204-8130 Fax: 510-524-0861
Dr. Sushma Z. Magnuson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1421 Broderick Street, Broderick Adult Residential Facility, Albany, CA 94115 Phone: 415-292-1760 Fax: 415-292-2511
Evan Scott Collier, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 San Pablo Ave, Suite 300, Albany, CA 94706 Phone: 510-204-8130
Ella Kamal Khan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 San Pablo Ave, Albany, CA 94706 Phone: 510-204-8130
Dr. Alan Shifman Charles, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 741 Gateview Ave, Albany, CA 94706 Phone: 478-804-2220

Ellen Wallace, MD - Medicare Family Medicine in Albany, CA