Adam Bryan Wallace, MD in Stanford, CA - Medicare Plastic Surgery

Adam Bryan Wallace, MD is a medicare enrolled "Plastic Surgery" physician in Stanford, California. His current practice location is 300 Pasteur Dr, Stanford, California. You can reach out to his office (for appointments etc.) via phone at (650) 723-4000.

Adam Bryan Wallace is licensed to practice in California (license number A161405) 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 1700317898.

Contact Information

	Adam Bryan Wallace, MD
	300 Pasteur Dr, Stanford, CA 94305-2200
	(650) 723-4000
	Not Available

Map and Direction

Physician's Profile

Full Name	Adam Bryan Wallace
Gender	Male
Speciality	Plastic Surgery
Location	300 Pasteur Dr, Stanford, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700317898
Provider Enumeration Date: 03/21/2017
Last Update Date: 08/05/2024

Medicare PECOS Information:

PECOS PAC ID: 7315271806
Enrollment ID: I20240510002217

Medical Identifiers

Medical identifiers for Adam Bryan Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700317898	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208200000X	Plastic Surgery	A161405 (California)	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. Adam Bryan Wallace allows following entities to bill medicare on his behalf.

Entity Name	Stanford Health Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437292927 PECOS PAC ID: 6709797491 Enrollment ID: O20031124000348

Entity Name	Lpch Medical Group Div Of Lucile
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417907940 PECOS PAC ID: 0840298543 Enrollment ID: O20061113000232

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. Adam Bryan 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
Adam Bryan Wallace, MD 300 Pasteur Dr, Stanford, CA 94305-2200 Ph: (650) 723-4000	Adam Bryan Wallace, MD 300 Pasteur Dr, Stanford, CA 94305-2200 Ph: (650) 723-4000

Reviews and Comments

Plastic Surgery Doctors in Stanford, CA

Dr. Jennifer L Weintraub, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-5824
Dr. Angeline F Lim, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-6661
Dr. Michael Thornton Longaker, MD MBA Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 257 Campus Dr, Stanford, CA 94305 Phone: 650-736-1707 Fax: 650-736-1705

Adam Bryan Wallace, MD - Medicare Plastic Surgery in Stanford, CA