Daniel Charles Wallace, MD | |
701 Dellwood St S, Cambridge, MN 55008-1920 | |
(763) 689-7700 | |
Not Available |
Full Name | Daniel Charles Wallace |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 15 Years |
Location | 701 Dellwood St S, Cambridge, Minnesota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083848063 | NPI | - | NPPES |
1083848063 | Other | MN | BCBS |
1083848063 | Medicaid | MN | |
P00860753 | Other | RAILROAD MEDICARE | |
01-42353 | Other | MEDICA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 53228 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Allina Health Home Health | Saint paul, MN | Home health agency |
St Croix Hospice | Oakdale, MN | Hospice |
Cambridge Medical Center | Cambridge, MN | Hospital |
Abbott Northwestern Hospital | Minneapolis, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Allina Health System | 4587573613 | 3101 |
Entity Name | Allina Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
Entity Name | Allina Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713 |
Mailing Address | Practice Location Address |
---|---|
Daniel Charles Wallace, MD 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-5000 | Daniel Charles Wallace, MD 701 Dellwood St S, Cambridge, MN 55008-1920 Ph: (763) 689-7700 |
Dr. Dawn A Schreifels, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Dellwood St S, Cambridge, MN 55008 Phone: 763-689-7700 | |
Michael J. Joyce, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Dellwood St S, Cmc, Cambridge, MN 55008 Phone: 763-689-7700 | |
Debra S Larson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Dellwood St S, Cambridge, MN 55008 Phone: 763-689-7700 Fax: 763-689-7941 | |
Allen J Mork, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Dellwood St S, Cambridge, MN 55008 Phone: 763-689-7700 | |
Robert P Callen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Dellwood St S, Cambridge, MN 55008 Phone: 763-689-7700 Fax: 763-689-7941 | |
Charles J Phillips, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Dellwood St S, Cambridge, MN 55008 Phone: 763-689-7700 Fax: 763-689-7941 |