| 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 | 27 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 |
|---|---|---|
| Mcleod Regional Medical Center-pee Dee | Florence, SC | Hospital |
| Musc Health Florence Medical Center | Florence, SC | Hospital |
| Mcleod Health Clarendon | Manning, SC | Hospital |
| Mcleod Health Cheraw | Cheraw, SC | Hospital |
| Mcleod Medical Center - Dillon | Dillon, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Musc Community Physicians | 6507260668 | 1322 |
| Carolina Radiology Associates Llc | 1658350764 | 63 |
| 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: May Accept Medicare Assignments 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 |