Jacob Wallace, MD - Medicare Diagnostic Radiology in Salina, KS

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Jacob Wallace, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Salina, Kansas. He went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 2015 and has 10 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice United Radiology Billing Llc, Clay County Medical Center and his current practice location is 119 W Iron Ave Fl 5, Salina, Kansas. You can reach out to his office (for appointments etc.) via phone at (785) 827-9526.

Jacob Wallace is licensed to practice in Kansas (license number 04-44613) 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 1871974527.

Contact Information

Jacob Wallace, MD
119 W Iron Ave Fl 5,
Salina, KS 67401-2600
(785) 827-9526
(785) 827-2854

Map and Direction




Physician's Profile

Full NameJacob Wallace
GenderMale
SpecialityDiagnostic Radiology
Experience10 Years
Location119 W Iron Ave Fl 5, Salina, Kansas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jacob Wallace attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 2015
  NPI Data:
  • NPI Number: 1871974527
  • Provider Enumeration Date: 06/17/2015
  • Last Update Date: 03/10/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 0244544336
  • Enrollment ID: I20210524001019

Medical Identifiers

Medical identifiers for Jacob Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871974527NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 94-08609 (Kansas)Secondary
2085R0202XRadiology - Diagnostic Radiology 04-44613 (Kansas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Salina Regional Health CenterSalina, KSHospital
Rooks County Health CenterPlainville, KSHospital
Memorial HospitalAbilene, KSHospital
Hospital District #6 Patterson Health CenterAnthony, KSHospital
Ellsworth County Medical CenterEllsworth, KSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
United Radiology Billing Llc04465492658
Clay County Medical Center690195943632

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. Jacob Wallace allows following entities to bill medicare on his behalf.
Entity NameClay County Medical Center
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1265485817
PECOS PAC ID: 6901959436
Enrollment ID: O20090731000423
Entity NameClay County Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134163389
PECOS PAC ID: 6901959436
Enrollment ID: O20091020000184
Entity NameAdvanced General Radiology Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811394919
PECOS PAC ID: 4183947773
Enrollment ID: O20150107001234
Entity NameUnited Radiology Billing Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205298601
PECOS PAC ID: 0446549265
Enrollment ID: O20160518001752

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. Jacob 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 AddressPractice Location Address
Jacob Wallace, MD
119 W Iron Ave Fl 5,
Salina, KS 67401-2600

Ph: (785) 827-9526		Jacob Wallace, MD
119 W Iron Ave Fl 5,
Salina, KS 67401-2600

Ph: (785) 827-9526

Reviews and Comments


Radiology Doctors in Salina, KS

Michaelyn Mick, LRT
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 2265 S 9th St, Salina, KS 67401
Phone: 785-452-6002    
William R Allen, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 119 W Iron Ave, Salina, KS 67401
Phone: 785-827-9526    Fax: 785-827-2854
Justin Kerby,
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 119 W Iron Ave Fl 5, Salina, KS 67401
Phone: 785-827-9526    Fax: 785-827-2854
Mordecai Kopperman, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 119 W Iron Ave Fl 5, Salina, KS 67401
Phone: 785-827-9526    Fax: 785-827-2854
Dr. Patrik Charles Leonard, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 119 W Iron Ave Fl 5, Salina, KS 67401
Phone: 785-827-9526    Fax: 785-827-2854
Yazan Asad Abuodeh, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 511 S Santa Fe Ave Ste A, Salina, KS 67401
Phone: 785-452-4820    Fax: 785-452-4821
Daniel Joseph Hulse, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 119 W Iron Ave Fl 5, Salina, KS 67401
Phone: 785-827-9526    Fax: 785-827-2854

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.