Douglas C Wallace, MD in Grove City, OH - Medicare Family Practice

Douglas C Wallace, MD is a medicare enrolled "Family Medicine" physician in Grove City, Ohio. He went to Ohio State University College Of Medicine and graduated in 1982 and has 42 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice American Health Network Of Ohio Llc and his current practice location is 4072 Gantz Rd, Grove City, Ohio. You can reach out to his office (for appointments etc.) via phone at (614) 875-0011.

Douglas C Wallace is licensed to practice in Ohio (license number 35.049780) 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 1063451144.

Contact Information

	Douglas C Wallace, MD
	4072 Gantz Rd, Grove City, OH 43123-4816
	(614) 875-0011
	(614) 539-7287

Map and Direction

Physician's Profile

Full Name	Douglas C Wallace
Gender	Male
Speciality	Family Practice
Experience	42 Years
Location	4072 Gantz Rd, Grove City, Ohio
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:

Douglas C Wallace attended and graduated from Ohio State University College Of Medicine in 1982

NPI Data:

NPI Number: 1063451144
Provider Enumeration Date: 06/05/2006
Last Update Date: 07/21/2023

Medicare PECOS Information:

PECOS PAC ID: 9032116512
Enrollment ID: I20061025000509

Medical Identifiers

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

Identifier	Type	State	Issuer
1063451144	NPI	-	NPPES
0586996	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	35.049780 (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Summit Orthopaedic Home Care	Columbus, OH	Home health agency
Riverside Methodist Hospital	Columbus, OH	Hospital
Grant Medical Center	Columbus, OH	Hospital
Mount Carmel East & West	Columbus, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
American Health Network Of Ohio Llc	3173427721	34

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. Douglas C Wallace allows following entities to bill medicare on his behalf.

Entity Name	American Health Network Of Ohio Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386675544 PECOS PAC ID: 3173427721 Enrollment ID: O20031125000146

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. Douglas C 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
Douglas C Wallace, MD 4072 Gantz Rd, Grove City, OH 43123-4816 Ph: (614) 875-0011	Douglas C Wallace, MD 4072 Gantz Rd, Grove City, OH 43123-4816 Ph: (614) 875-0011

Reviews and Comments

Family Medicine Doctors in Grove City, OH

Dr. Krisanna L Deppen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2030 Stringtown Rd, Grove City, OH 43123 Phone: 614-566-0987 Fax: 614-566-0978
Mr. William J Burke, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2030 Stringtown Rd, Grove City, OH 43123 Phone: 614-544-0101 Fax: 614-544-0102
Alece Leeshanna Andrew, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1325 Stringtown Rd Ste 240, Grove City, OH 43123 Phone: 614-788-0130
Evelyn Ann Eakin, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1325 Stringtown Rd Ste 240, Grove City, OH 43123 Phone: 614-788-0130 Fax: 614-788-0538
Craig William Fortman, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2030 Stringtown Rd Ste 210, Grove City, OH 43123 Phone: 614-544-0050
David Hixson, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1325 Stringtown Rd Ste 240, Grove City, OH 43123 Phone: 614-788-0130

Douglas C Wallace, MD - Medicare Family Practice in Grove City, OH