Diane Elizabeth Wallis, MD in Downers Grove, IL

Diane Elizabeth Wallis, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Downers Grove, Illinois. Her current practice location is 3825 Highland Ave, Suite 400, Downers Grove, Illinois. You can reach out to her office (for appointments etc.) via phone at (630) 719-4799.

Diane Elizabeth Wallis is licensed to practice in Illinois (license number 036061857) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1659323574.

Contact Information

	Diane Elizabeth Wallis, MD
	3825 Highland Ave, Suite 400, Downers Grove, IL 60515-1552
	(630) 719-4799
	Not Available

Map and Direction

Physician's Profile

Full Name	Diane Elizabeth Wallis
Gender	Female
Speciality	Internal Medicine - Cardiovascular Disease
Location	3825 Highland Ave, Downers Grove, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659323574
Provider Enumeration Date: 05/17/2006
Last Update Date: 11/29/2016

Medicare PECOS Information:

PECOS PAC ID: 1153222443
Enrollment ID: I20040424000277

Medical Identifiers

Medical identifiers for Diane Elizabeth Wallis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659323574	NPI	-	NPPES
036061857	Medicaid	IL
060043700	Other		RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0000X	Internal Medicine - Cardiovascular Disease	036061857 (Illinois)	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. Diane Elizabeth Wallis allows following entities to bill medicare on her behalf.

Entity Name	Advocate Health And Hospitals Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064

Entity Name	Central Dupage Hospital Association
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003864810 PECOS PAC ID: 0941108666 Enrollment ID: O20031231000723

Entity Name	Edward Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013969013 PECOS PAC ID: 0042108110 Enrollment ID: O20040309001279

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. Diane Elizabeth Wallis 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
Diane Elizabeth Wallis, MD 1919 S Highland Ave, Suite B202 Attn Jan Lewis, Lombard, IL 60148-6153 Ph: (630) 268-1102	Diane Elizabeth Wallis, MD 3825 Highland Ave, Suite 400, Downers Grove, IL 60515-1552 Ph: (630) 719-4799

Reviews and Comments

Internal Medicine Doctors in Downers Grove, IL

Hajira Younas Khan, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 5207 Main St, Downers Grove, IL 60515 Phone: 630-435-9888 Fax: 630-963-1524
Peter Michael Kerwin, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3825 Highland Ave, Tower 2 Suite 400, Downers Grove, IL 60515 Phone: 630-719-4799
Stephen Michael Rowley, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3825 Highland Ave, Tower 2 Suite 400, Downers Grove, IL 60515 Phone: 630-719-4799
Dr. Anil Vamsi Doppalapudi, M.D Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3825 Highland Ave Ste 3d, Downers Grove, IL 60515 Phone: 630-964-7006 Fax: 630-964-7082
Mark J. Tatara, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 6840 Main St Ste 200, Downers Grove, IL 60516 Phone: 630-869-5382 Fax: 630-869-5383
Dr. Weiser Eguia Cordero, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 5207 Main St, Downers Grove, IL 60515 Phone: 630-435-9888 Fax: 630-963-1524
Iva Minga, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 3825 Highland Ave Fl Tower24, Downers Grove, IL 60515 Phone: 630-719-4799 Fax: 630-963-7420

Diane Elizabeth Wallis, MD - Medicare Internal Medicine in Downers Grove, IL