Jamie Russelle Wallace, MD - Pediatrics in Scottsdale, AZ

Jamie Russelle Wallace, MD is a Pediatrics physician based in Scottsdale, Arizona. Jamie Russelle Wallace is licensed to practice in Arizona (license number 12810) and her current practice location is 10752 N 89th Pl, #126, Scottsdale, Arizona. She can be reached at her office (for appointments etc.) via phone at (480) 860-1161.

NPI number for Jamie Russelle Wallace is 1023066354 and her current mailing address is 10752 N 89th Pl, #126, Scottsdale, Arizona. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023066354.

Contact Information

Jamie Russelle Wallace, MD
10752 N 89th Pl, #126,
Scottsdale, AZ 85260
(480) 860-1161
(480) 860-6561

Map and Direction




Physician's Profile

Full NameJamie Russelle Wallace
GenderFemale
SpecialityPediatrics
Location10752 N 89th Pl, Scottsdale, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1023066354
  • Provider Enumeration Date: 05/05/2006
  • Last Update Date: 07/21/2022

Medical Identifiers

Medical identifiers for Jamie Russelle Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023066354NPI-NPPES
226143-001MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 12810 (Arizona)Primary

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. Jamie Russelle Wallace is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jamie Russelle Wallace, MD
10752 N 89th Pl, #126,
Scottsdale, AZ 85260

Ph: (480) 860-1161
Jamie Russelle Wallace, MD
10752 N 89th Pl, #126,
Scottsdale, AZ 85260

Ph: (480) 860-1161

Reviews and Comments


Pediatrics Doctors in Scottsdale, AZ

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Tierra Schulz, PNP-PC
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Phone: 480-609-8100    Fax: 480-922-7551
John A Pope, M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 9003 E Shea Blvd, Scottsdale, AZ 85260
Phone: 480-323-3644    Fax: 480-323-3510

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