Dr Adam Gregory Wallach, MD | |
400 El Cerro Blvd, Suite 204, Danville, CA 94526-1731 | |
(925) 837-8848 | |
(925) 837-4808 |
Full Name | Dr Adam Gregory Wallach |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 31 Years |
Location | 400 El Cerro Blvd, Danville, California |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982741021 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | G85998 (California) | Secondary |
207NS0135X | Dermatology - Procedural Dermatology | G85998 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Tahoe Forest Hospital | Truckee, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mountain West Derm California Pc | 7810255098 | 2 |
Adam Wallach,m.d. A Professional Corporation | 8224296686 | 3 |
Entity Name | Adam Wallach,m.d. A Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346517620 PECOS PAC ID: 8224296686 Enrollment ID: O20120215000304 |
Entity Name | Mountain West Derm California Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205346061 PECOS PAC ID: 7810255098 Enrollment ID: O20171215001577 |
Mailing Address | Practice Location Address |
---|---|
Dr Adam Gregory Wallach, MD 400 El Cerro Blvd, Suite 204, Danville, CA 94526-1731 Ph: (925) 837-8848 | Dr Adam Gregory Wallach, MD 400 El Cerro Blvd, Suite 204, Danville, CA 94526-1731 Ph: (925) 837-8848 |
Aleda A. Longwell, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1320 El Capitan Dr, Danville, CA 94526 Phone: 925-838-4363 Fax: 925-838-4545 | |
Jerome Potozkin, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 600 San Ramon Valley Blvd, Suite 102, Danville, CA 94526 Phone: 925-838-4900 Fax: 925-838-4920 | |
Sonia Badreshia, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 360 Rose Ave, Danville, CA 94526 Phone: 925-389-7196 | |
Gergana Gallacher, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 770 San Ramon Blvd, Danville, CA 94526 Phone: 925-820-3376 Fax: 925-820-3307 | |
Daniel J Wall, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3860 Blackhawk Rd Ste 140, Danville, CA 94506 Phone: 925-837-6000 | |
Hayes Bordman Gladstone, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3860 Blackhawk Rd Ste 140, Danville, CA 94506 Phone: 925-837-6000 |