Timothy R Wallace, DO - Medicare Family Practice in Oshkosh, WI

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Timothy R Wallace, DO is a medicare enrolled "Family Medicine" physician in Oshkosh, Wisconsin. He graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Aamg Reach Pllc, Aurora Medical Group, Inc. and his current practice location is 855 N Westhaven Dr, Oshkosh, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 303-8700.

Timothy R Wallace is licensed to practice in South Carolina (license number 1195) 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 1275725384.

Contact Information

Timothy R Wallace, DO
855 N Westhaven Dr,
Oshkosh, WI 54904-7668
(920) 303-8700
(920) 303-8832

Map and Direction




Physician's Profile

Full NameTimothy R Wallace
GenderMale
SpecialityFamily Practice
Experience20 Years
Location855 N Westhaven Dr, Oshkosh, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Timothy R Wallace graduated from medical school in 2004
  NPI Data:
  • NPI Number: 1275725384
  • Provider Enumeration Date: 08/13/2007
  • Last Update Date: 12/06/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2466545637
  • Enrollment ID: I20130613000405

Medical Identifiers

Medical identifiers for Timothy R Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275725384NPI-NPPES
1195OtherSCMEDICAL LICENSE
60032-021OtherWIMEDICAL LICENSE
OS013436OtherPALICENSE
011953MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 1195 (South Carolina)Primary
207Q00000XFamily Medicine OS013436 (Pennsylvania)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Aurora At HomeGreen bay, WIHome health agency
Aurora Medical Ctr OshkoshOshkosh, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Aamg Reach Pllc559713326467
Aurora Medical Group, Inc.67097942583207

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. Timothy R Wallace allows following entities to bill medicare on his behalf.
Entity NameAurora Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427271378
PECOS PAC ID: 6709794258
Enrollment ID: O20031105000725
Entity NameAamg Reach Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609502707
PECOS PAC ID: 5597133264
Enrollment ID: O20221216002458

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. Timothy 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 AddressPractice Location Address
Timothy R Wallace, DO
855 N Westhaven Dr,
Oshkosh, WI 54904-7668

Ph: (920) 303-8700		Timothy R Wallace, DO
855 N Westhaven Dr,
Oshkosh, WI 54904-7668

Ph: (920) 303-8700

Reviews and Comments


Family Medicine Doctors in Oshkosh, WI

Eric A Smiltneek, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 414 Doctors Ct, Oshkosh, WI 54901
Phone: 920-303-5100    
Alexey Shereshevsky, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 600 N. Westhaven Drive, Thedacare Physicians Oshkosh, Oshkosh, WI 54904
Phone: 920-237-5000    Fax: 920-237-5001
Michael Menard,
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904
Phone: 920-303-8700    
Harold W Boccheciamp, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 2725 Jackson St, Oshkosh, WI 54901
Phone: 920-223-7500    
James W Smrecek, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1855 S Koeller St, Oshkosh, WI 54902
Phone: 920-223-7300    
Dr. Scott J Beougher, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5165 Chesapeake Ct, Oshkosh, WI 54901
Phone: 920-303-2254    
Karl C Larson, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2725 Jackson St, Oshkosh, WI 54901
Phone: 920-223-7500    Fax: 920-223-7630

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.