Lauren Wallace, MD - Medicare Family Practice in Duluth, MN

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Lauren Wallace, MD is a medicare enrolled "Family Medicine" physician in Duluth, Minnesota. She went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 2013 and has 11 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice St Lukes Hospital Of Duluth and her current practice location is 4190 Loberg Ave, Duluth, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 249-4600.

Lauren Wallace is licensed to practice in Minnesota (license number 73123) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1063828184.

Contact Information

Lauren Wallace, MD
4190 Loberg Ave,
Duluth, MN 55811-2652
(218) 249-4600
Not Available

Map and Direction




Physician's Profile

Full NameLauren Wallace
GenderFemale
SpecialityFamily Practice
Experience11 Years
Location4190 Loberg Ave, Duluth, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lauren Wallace attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 2013
  NPI Data:
  • NPI Number: 1063828184
  • Provider Enumeration Date: 07/09/2014
  • Last Update Date: 01/30/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6608197371
  • Enrollment ID: I20230310000819

Medical Identifiers

Medical identifiers for Lauren Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063828184NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 125065769 (Illinois)Secondary
207Q00000XFamily Medicine 2021034580 (Missouri)Secondary
207Q00000XFamily Medicine 73123 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Lukes Home CareDuluth, MNHome health agency
St Lukes HospitalDuluth, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Lukes Hospital Of Duluth7113834839352

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. Lauren Wallace allows following entities to bill medicare on her behalf.
Entity NameSt Lukes Hospital Of Duluth
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902845068
PECOS PAC ID: 7113834839
Enrollment ID: O20031120000212

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. Lauren 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
Lauren Wallace, MD
4190 Loberg Ave,
Duluth, MN 55811-2652

Ph: (218) 249-4600		Lauren Wallace, MD
4190 Loberg Ave,
Duluth, MN 55811-2652

Ph: (218) 249-4600

Reviews and Comments


Family Medicine Doctors in Duluth, MN

Dr. Kylie Elizabeth Kraft, MD
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Practice Location: 330 N 8th Ave E, Duluth, MN 55805
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Steven Peter Phillipson,
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Phone: 218-786-3550    Fax: 218-525-7487
Dr. Jennifer Lynn Jones, M.D.
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Practice Location: 330 N 8th Ave E, Duluth, MN 55805
Phone: 221-872-3111    Fax: 218-529-9120
Dr. Eric David Boehmer, MD
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Practice Location: 420 E 1st St, Duluth, MN 55805
Phone: 218-786-8364    
Dr. Joseph Christopher Metzger Jr., MD
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Practice Location: 330 N 8th Ave E, Duluth, MN 55805
Phone: 218-529-9122    
Ms. Kayla Jean Olds, FNP
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Medicare: Medicare Enrolled
Practice Location: 1414 Woodland Ave, Duluth, MN 55803
Phone: 218-302-1000    

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.