| Marc A Wallace, DO | |
|
138 Platt Dr, Johnstown, PA 15904-4305 | |
| (412) 478-6416 | |
| (412) 387-5010 |
| Full Name | Marc A Wallace |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 26 Years |
| Location | 138 Platt Dr, Johnstown, Pennsylvania |
| 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 |
|---|---|---|---|
| 1841299146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | OS00848L (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Atlanticare Regional Medical Center | Atlantic city, NJ | Hospital |
| Entity Name | South Hills Radiology Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265426456 PECOS PAC ID: 2264480383 Enrollment ID: O20050105000853 |
| Entity Name | Atlantic Medical Imaging |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396771556 PECOS PAC ID: 0345215141 Enrollment ID: O20211104000214 |
| Entity Name | Ami Atlanticare Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275762023 PECOS PAC ID: 7113073263 Enrollment ID: O20211104001679 |
| Entity Name | Atlantic Radiologists Professional Association Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841438728 PECOS PAC ID: 3678621620 Enrollment ID: O20211201002766 |
| Entity Name | Pennsylvania Radiology Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184443921 PECOS PAC ID: 4385170810 Enrollment ID: O20241209000092 |
| Entity Name | Reston Radiology Consultants, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235307034 PECOS PAC ID: 1557436730 Enrollment ID: O20250415001212 |
| Mailing Address | Practice Location Address |
|---|---|
| Marc A Wallace, DO 138 Platt Dr, Johnstown, PA 15904-4305 Ph: (412) 478-6416 | Marc A Wallace, DO 138 Platt Dr, Johnstown, PA 15904-4305 Ph: (412) 478-6416 |
Subarna Eisaman, Radiology Medicare: Accepting Medicare Assignments Practice Location: 337 Somerset Street Upmcjohn P. Murtha Regional Cance, Department Of Radiation Oncology, Johnstown, PA 15901 Phone: 814-534-4724 | |
Dr. Howard I Forman, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1086 Franklin St, Johnstown, PA 15905 Phone: 814-539-5987 Fax: 814-535-4176 | |
Dr. Michael S Hahm, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1086 Franklin St, Johnstown, PA 15905 Phone: 814-539-5987 Fax: 814-535-4176 | |
Douglas Jackson, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 337 Somerset St, Johnstown, PA 15901 Phone: 814-533-0106 | |
Dr. Kiet A Hoang, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1086 Franklin St, Johnstown, PA 15905 Phone: 814-539-5987 Fax: 814-535-4176 | |
Dr. Anthony J Scuderi, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1086 Franklin St, Johnstown, PA 15905 Phone: 814-539-5987 Fax: 814-535-4176 | |
Dr. Lawrence M Mcniesh, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1086 Franklin St, Johnstown, PA 15905 Phone: 814-539-5987 Fax: 814-535-4176 |