James John Wallace, DO in Fond Du Lac, WI

James John Wallace, DO is a medicare enrolled "Family Medicine" physician in Fond Du Lac, Wisconsin. His current practice location is 145 N. Main St, Fond Du Lac, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 926-8492.

James John Wallace is licensed to practice in Wisconsin (license number 28115-021) 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 1538196704.

Contact Information

	James John Wallace, DO
	145 N. Main St, Fond Du Lac, WI 54935-3423
	(920) 926-8492
	(920) 926-8903

Map and Direction

Physician's Profile

Full Name	James John Wallace
Gender	Male
Speciality	Family Medicine
Location	145 N. Main St, Fond Du Lac, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538196704
Provider Enumeration Date: 06/26/2006
Last Update Date: 03/10/2016

Medicare PECOS Information:

PECOS PAC ID: 9537065362
Enrollment ID: I20231012002156

Medical Identifiers

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

Identifier	Type	State	Issuer
1538196704	NPI	-	NPPES
P00983439	Other	WI	RAILROAD MEDICARE
30027800	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	28115-021 (Wisconsin)	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. James John Wallace allows following entities to bill medicare on his behalf.

Entity Name	Memphis Health Center, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144236902 PECOS PAC ID: 7315859972 Enrollment ID: O20031103000245

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. James John 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
James John Wallace, DO 420 E Division St, Fond Du Lac, WI 54935-4560 Ph: (920) 926-8340	James John Wallace, DO 145 N. Main St, Fond Du Lac, WI 54935-3423 Ph: (920) 926-8492

Reviews and Comments

Family Medicine Doctors in Fond Du Lac, WI

Jeanette Roehl, APNP FNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 210 Wisconsin American Dr, Fond Du Lac, WI 54937 Phone: 920-907-7000
Lynda J Kasper, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 420 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-8200
Heather Pearson Schmidt, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 421 Camelot Dr, Fond Du Lac, WI 54935 Phone: 920-926-8500 Fax: 920-926-8983
Gina M Everson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 420 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-8200
William J Brusky, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 145 N Main St, Fond Du Lac, WI 54935 Phone: 920-926-8492
Marcie Ann Janz, APNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 481 E Division St, Suite 100, Fond Du Lac, WI 54935 Phone: 920-929-8120 Fax: 920-929-8126
Gay D Trepanier, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 481 E Division St, Suite 100, Fond Du Lac, WI 54935 Phone: 920-929-8120 Fax: 920-929-8126

James John Wallace, DO - Medicare Family Medicine in Fond Du Lac, WI