David Warner Wallace, MD in Phoenix, AZ

David Warner Wallace, MD is a medicare enrolled "Anesthesiology - Pediatric Anesthesiology" physician in Phoenix, Arizona. His current practice location is 1919 E Thomas Rd, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 933-0000.

David Warner Wallace is licensed to practice in Arizona (license number 67086) 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 1700327061.

Contact Information

	David Warner Wallace, MD
	1919 E Thomas Rd, Phoenix, AZ 85016-7710
	(602) 933-0000
	Not Available

Map and Direction

Physician's Profile

Full Name	David Warner Wallace
Gender	Male
Speciality	Anesthesiology - Pediatric Anesthesiology
Location	1919 E Thomas Rd, Phoenix, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700327061
Provider Enumeration Date: 03/19/2017
Last Update Date: 09/13/2022

Medicare PECOS Information:

PECOS PAC ID: 9032590963
Enrollment ID: I20220722001991

Medical Identifiers

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

Identifier	Type	State	Issuer
1700327061	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	A158148 (California)	Secondary
207LP3000X	Anesthesiology - Pediatric Anesthesiology	67086 (Arizona)	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. David Warner Wallace allows following entities to bill medicare on his behalf.

Entity Name	Childrens Hospital Los Angeles Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265530653 PECOS PAC ID: 0143126920 Enrollment ID: O20031211000522

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 Warner 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 Warner Wallace, MD 2108 E Thomas Rd, Ste 130, Phoenix, AZ 85016-7761 Ph: (602) 933-3124	David Warner Wallace, MD 1919 E Thomas Rd, Phoenix, AZ 85016-7710 Ph: (602) 933-0000

Reviews and Comments

Anesthesiology Doctors in Phoenix, AZ

Dr. Ahmar Husain, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 602-933-4660
Gerald D. Peiser, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4441 E Mcdowell Rd, # 101, Phoenix, AZ 85008 Phone: 602-273-6770 Fax: 602-889-0489
Asha Thakur, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1715 W Northern Ave, Suite 108, Phoenix, AZ 85021 Phone: 602-395-0718 Fax: 602-277-8146
Joshua Aaron Bloomstone, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 645 E Missouri Ave Ste 300, Phoenix, AZ 85012 Phone: 602-262-8900 Fax: 602-262-8890
Jeffrey Parker Morray, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2901 North Central Ave, Ste 500, Phoenix, AZ 85012 Phone: 602-262-8900 Fax: 602-262-8919
Dr. Eric L Pedicini, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1850 N Central Ave, Suite1600, Phoenix, AZ 85004 Phone: 602-262-8900 Fax: 602-262-8890
Laura Kareen Griffin, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 602-933-4660 Fax: 602-933-8945

David Warner Wallace, MD - Medicare Anesthesiology in Phoenix, AZ