Mr Gregory Hall Wallace, DO is a medicare enrolled "Pediatrics" physician in Norwood, Ohio. He went to West Virginia School Of Osteopathic Medicine and graduated in 1981 and has 45 years of diverse experience with area of expertise as Pediatric Medicine. He is a member of the group practice Children's Hospital Medical Center and his current practice location is
4623 Wesley Ave, Bmf Pediatric Care Suite G, Norwood, Ohio. You can reach out to his office (for appointments etc.) via phone at
(513) 631-3338.
Mr Gregory Hall Wallace is licensed to practice in Ohio (license number 34008036W) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1346284957.
Physician's Profile
| Full Name | Mr Gregory Hall Wallace |
|---|
| Gender | Male |
|---|
| Speciality | Pediatric Medicine |
|---|
| Experience | 45 Years |
|---|
| Location | 4623 Wesley Ave, Norwood, Ohio |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Mr Gregory Hall Wallace attended and graduated from West Virginia School Of Osteopathic Medicine in 1981
NPI Data:
- NPI Number: 1346284957
- Provider Enumeration Date: 06/15/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 5991607020
- Enrollment ID: I20040121000252
Medical Identifiers
Medical identifiers for Mr Gregory Hall Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346284957 | NPI | - | NPPES |
| 2442986 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 34008036W (Ohio) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Children's Hospital Medical Center | 8426955733 | 545 |
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 Gregory Hall Wallace allows following entities to bill medicare on his behalf.
| Entity Name | Children's Hospital Medical Center |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1609915784
PECOS PAC ID: 8426955733
Enrollment ID: O20031216000035 |
|---|
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 Gregory Hall 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 Gregory Hall Wallace, DO
Po Box 640220,
Cincinnati, OH 45264-0220
Ph: (513) 281-8000 | Mr Gregory Hall Wallace, DO
4623 Wesley Ave, Bmf Pediatric Care Suite G,
Norwood, OH 45212
Ph: (513) 631-3338 |
Reviews and Comments