Mr Aaron Michael Wallace, MD is a medicare enrolled "Pediatrics" physician in Barre, Vermont. His current practice location is
246 Granger Rd Ste 1, Barre, Vermont. You can reach out to his office (for appointments etc.) via phone at
(802) 371-5950.
Mr Aaron Michael Wallace is licensed to practice in Maine (license number MD23914) 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 1073037016.
Physician's Profile
Full Name | Mr Aaron Michael Wallace |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 246 Granger Rd Ste 1, Barre, Vermont |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1073037016
- Provider Enumeration Date: 08/01/2017
- Last Update Date: 12/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 0648694059
- Enrollment ID: I20230830002417
Medical Identifiers
Medical identifiers for Mr Aaron Michael Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073037016 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | MD23914 (Maine) | Secondary |
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. Mr Aaron Michael Wallace allows following entities to bill medicare on his behalf.
Entity Name | Maine Medical Partners |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1467477349 PECOS PAC ID: 9335043967 Enrollment ID: O20031125000026 |
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Entity Name | Maine Medical Partners |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1134144090 PECOS PAC ID: 9335043967 Enrollment ID: O20040331000191 |
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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. Mr Aaron Michael 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 |
Mr Aaron Michael Wallace, MD 17 Wingate Dr, Portland, ME 04102-1829 Ph: (860) 214-6273 | Mr Aaron Michael Wallace, MD 246 Granger Rd Ste 1, Barre, VT 05641-5352 Ph: (802) 371-5950 |
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