| Marcus Wallace, MD | |
|
15790 Paul Vega Md Dr, Hospital Medicine, Hammond, LA 70403-1434 | |
| (985) 230-3066 | |
| (985) 230-2072 |
| Full Name | Marcus Wallace |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 25 Years |
| Location | 15790 Paul Vega Md Dr, Hammond, Louisiana |
| 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 |
|---|---|---|---|
| 1841201860 | NPI | - | NPPES |
| 143374-01 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35540 (Arizona) | Secondary |
| 208M00000X | Hospitalist | MD.025294 (Louisiana) | Primary |
| 207R00000X | Internal Medicine | MD.025294 (Louisiana) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Tammany Parish Hospital | Covington, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Tammany Parish Hospital Service District No 1 | 0749273761 | 148 |
| Entity Name | St Tammany Parish Hospital Service District No 1 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598798597 PECOS PAC ID: 0749273761 Enrollment ID: O20051102000003 |
| Mailing Address | Practice Location Address |
|---|---|
| Marcus Wallace, MD Po Box 2666, Hospital Medicine, Hammond, LA 70404-2666 Ph: (985) 230-3066 | Marcus Wallace, MD 15790 Paul Vega Md Dr, Hospital Medicine, Hammond, LA 70403-1434 Ph: (985) 230-3066 |
Miss Rachel Ann Aaron, M.D. Hospitalist Medicare: Medicare Enrolled Practice Location: 15790 Paul Vega Md Dr, Hammond, LA 70403 Phone: 985-230-1683 Fax: 985-230-2072 | |
Robert C. Peltier, M.D. Hospitalist Medicare: Medicare Enrolled Practice Location: 15790 Paul Vega Md Dr, Hammond, LA 70403 Phone: 985-230-3668 Fax: 985-230-2072 | |
Evangelos Stergios Sotiropoulos, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 15790 Paul Vega Md Dr, Hammond, LA 70403 Phone: 985-345-2700 |