Diane E Wallace, MD - Medicare Emergency Medicine in Warsaw, IN

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Diane E Wallace, MD is a medicare enrolled "Emergency Medicine" physician in Warsaw, Indiana. Her current practice location is 1355 Mariners Dr, Warsaw, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 372-0000.

Diane E Wallace is licensed to practice in Indiana (license number 01061919A) 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 1194764647.

Contact Information

Diane E Wallace, MD
1355 Mariners Dr,
Warsaw, IN 46582-7145
(574) 372-0000
Not Available

Map and Direction




Physician's Profile

Full NameDiane E Wallace
GenderFemale
SpecialityEmergency Medicine
Location1355 Mariners Dr, Warsaw, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1194764647
  • Provider Enumeration Date: 06/06/2006
  • Last Update Date: 03/10/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8123120656
  • Enrollment ID: I20070301000195

Medical Identifiers

Medical identifiers for Diane E Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194764647NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 01061919A (Indiana)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 E Wallace allows following entities to bill medicare on her behalf.
Entity NameProfessional Emergency Physicians Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144215096
PECOS PAC ID: 2769384213
Enrollment ID: O20040123000999

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 E 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 AddressPractice Location Address
Diane E Wallace, MD
608 Union Chapel Rd,
Fort Wayne, IN 46845-9357

Ph: (260) 498-2020		Diane E Wallace, MD
1355 Mariners Dr,
Warsaw, IN 46582-7145

Ph: (574) 372-0000

Reviews and Comments


Emergency Medicine Doctors in Warsaw, IN

Nicholas L Finley, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2235 Dubois Dr, Warsaw, IN 46580
Phone: 574-267-8189    Fax: 574-267-7554

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.