| Jeffrey Wallace, MD | |
|
12605 E 16th Ave, Aurora, CO 80045-2545 | |
| (720) 848-0000 | |
| Not Available |
| Full Name | Jeffrey Wallace |
|---|---|
| Gender | Male |
| Speciality | Geriatric Medicine |
| Experience | 41 Years |
| Location | 12605 E 16th Ave, Aurora, Colorado |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215027990 | NPI | - | NPPES |
| 37850539 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RA0401X | Internal Medicine - Addiction Medicine | 0027855 (Colorado) | Secondary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | 27855 (Colorado) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| San Luis Valley Community Mental Health Center | 0345267779 | 24 |
| Entity Name | San Luis Valley Community Mental Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063406999 PECOS PAC ID: 0345267779 Enrollment ID: O20051025001036 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey Wallace, MD Po Box 876, Aurora, CO 80040-0876 Ph: (303) 493-7000 | Jeffrey Wallace, MD 12605 E 16th Ave, Aurora, CO 80045-2545 Ph: (720) 848-0000 |
Samiran Bhattacharya, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 12605 E 16th Ave, Aurora, CO 80045 Phone: 720-848-0000 | |
Payal Rohit Patel, MD Geriatric Medicine Medicare: Medicare Enrolled Practice Location: 12605 E 16th Ave, Aurora, CO 80045 Phone: 303-724-6024 | |
Jonathan A Gutman, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 12605 E 16th Ave, Aurora, CO 80045 Phone: 720-848-0000 | |
Jeffrey Glasheen, MD Geriatric Medicine Medicare: Medicare Enrolled Practice Location: 12605 E 16th Ave, Aurora, CO 80045 Phone: 720-848-0000 | |
Micol Rothman, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 12605 E 16th Ave, Aurora, CO 80045 Phone: 720-848-0000 | |
Larry Allen, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 12605 E 16th Ave, Aurora, CO 80045 Phone: 720-848-0000 | |
Virginia Borges, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 12605 E 16th Ave, Aurora, CO 80045 Phone: 720-848-0000 |