David Wallace, DO in Draper, UT - Medicare Anesthesiology

David Wallace, DO is a medicare enrolled "Anesthesiology" physician in Draper, Utah. He went to Michigan State University College Of Osteopathic Medicine and graduated in 1986 and has 38 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Associated Anesthesiologists Of Fort Wayne, Pc and his current practice location is 738 Golden Pheasant Dr, Draper, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 403-7980.

David Wallace is licensed to practice in Utah (license number 272263-1205) 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 1932193604.

Contact Information

	David Wallace, DO
	738 Golden Pheasant Dr, Draper, UT 84020-8454
	(801) 403-7980
	Not Available

Map and Direction

Physician's Profile

Full Name	David Wallace
Gender	Male
Speciality	Anesthesiology
Experience	38 Years
Location	738 Golden Pheasant Dr, Draper, Utah
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:

David Wallace attended and graduated from Michigan State University College Of Osteopathic Medicine in 1986

NPI Data:

NPI Number: 1932193604
Provider Enumeration Date: 09/08/2005
Last Update Date: 10/10/2007

Medicare PECOS Information:

PECOS PAC ID: 8527952894
Enrollment ID: I20080128000791

Medical Identifiers

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

Identifier	Type	State	Issuer
1932193604	NPI	-	NPPES
D4253	Medicaid	UT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	272263-1205 (Utah)	Primary
207L00000X	Anesthesiology	5101010132 (Michigan)	Secondary
207L00000X	Anesthesiology	15448 (Mississippi)	Secondary
207L00000X	Anesthesiology	O-168 (Idaho)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Associated Anesthesiologists Of Fort Wayne, Pc	2264412444	103

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. David Wallace allows following entities to bill medicare on his behalf.

Entity Name	Associated Anesthesiologists Of Fort Wayne, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538159140 PECOS PAC ID: 2264412444 Enrollment ID: O20040720001562

Entity Name	Apollo Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396179461 PECOS PAC ID: 3072741370 Enrollment ID: O20140113001443

Entity Name	Unified Anesthesia Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093192882 PECOS PAC ID: 8628376068 Enrollment ID: O20160418001990

Entity Name	Apollo Medical Group Of Lake George Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467067579 PECOS PAC ID: 1355751678 Enrollment ID: O20201027002860

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. David 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
David Wallace, DO 738 Golden Pheasant Dr, Draper, UT 84020-8454 Ph: (801) 403-7980	David Wallace, DO 738 Golden Pheasant Dr, Draper, UT 84020-8454 Ph: (801) 403-7980

Reviews and Comments

Anesthesiology Doctors in Draper, UT

Justin Curtis, APRN-CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 96 E Kimballs Ln, Draper, UT 84020 Phone: 801-233-9300
Dr. Benjamin Metcalfe, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 11925 S State St, Draper, UT 84020 Phone: 801-545-8000
Derek Levoy Haight, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 96 E Kimballs Ln Ste 408, Draper, UT 84020 Phone: 801-572-1186
Craig Johnson, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 96 E Kimballs Ln, Draper, UT 84020 Phone: 801-233-9300
Tony Gianoulis, MD, MHA Anesthesiology Medicare: Medicare Enrolled Practice Location: 96 E Kimballs Ln, Draper, UT 84020 Phone: 801-641-7396
Dr. Benjamin A Rideout, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1733 Kudu Ct, Draper, UT 84020 Phone: 801-572-8215

David Wallace, DO - Medicare Anesthesiology in Draper, UT