Mark R Wallace, MD in Mount Vernon, WA - Medicare Internal Medicine

Mark R Wallace, MD is a medicare enrolled "Internal Medicine - Infectious Disease" physician in Mount Vernon, Washington. His current practice location is 1400 E Kincaid St, Mount Vernon, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 848-4150.

Mark R Wallace is licensed to practice in Washington (license number MD00020591) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1982683603.

Contact Information

	Mark R Wallace, MD
	1400 E Kincaid St, Mount Vernon, WA 98274-4127
	(360) 848-4150
	(360) 428-6485

Map and Direction

Physician's Profile

Full Name	Mark R Wallace
Gender	Male
Speciality	Internal Medicine - Infectious Disease
Location	1400 E Kincaid St, Mount Vernon, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982683603
Provider Enumeration Date: 01/11/2006
Last Update Date: 02/28/2017

Medicare PECOS Information:

PECOS PAC ID: 5890715692
Enrollment ID: I20150128000083

Medical Identifiers

Medical identifiers for Mark R Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982683603	NPI	-	NPPES
2039554	Medicaid	WA
275105400	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RI0200X	Internal Medicine - Infectious Disease	ME94199 (Florida)	Secondary
207RI0200X	Internal Medicine - Infectious Disease	MD00020591 (Washington)	Primary

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. Mark R Wallace allows following entities to bill medicare on his behalf.

Entity Name	Public Hospital Dist No 1 Skagit
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023332749 PECOS PAC ID: 6800793522 Enrollment ID: O20040309001059

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. Mark R 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 Address	Practice Location Address
Mark R Wallace, MD 1400 E Kincaid St, Attn: Credentialing, Mount Vernon, WA 98274-4127 Ph: (360) 428-2500	Mark R Wallace, MD 1400 E Kincaid St, Mount Vernon, WA 98274-4127 Ph: (360) 848-4150

Reviews and Comments

Internal Medicine Doctors in Mount Vernon, WA

Connie L. Davis, Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 208 Hospital Parkway, Mount Vernon, WA 98274 Phone: 360-428-8260 Fax: 360-428-8576
Ramy Lewez Hanna, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 307 S. 13th Street, Suite 300, Mount Vernon, WA 98274 Phone: 360-336-9757 Fax: 360-814-5237
Dr. Samuel M. Donohoe, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 1415 E Kincaid St, Hospitalists Office, Mount Vernon, WA 98274 Phone: 360-416-5750 Fax: 360-416-5758
Joshua David Larson, DO Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 1415 E Kincaid St, Mount Vernon, WA 98274 Phone: 360-814-2115
Luis Garduno, Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 110 N Laventure Rd Ste C, Mount Vernon, WA 98273 Phone: 360-814-8240
Sankar S Alagugurusamy, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 1400 E Kincaid St, Mount Vernon, WA 98274 Phone: 360-814-6113 Fax: 360-814-6110
Dr. Junfeng Wang, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 307 S 13th St Ste 100, Mount Vernon, WA 98274 Phone: 360-814-2146 Fax: 360-814-2445

Mark R Wallace, MD - Medicare Internal Medicine in Mount Vernon, WA