Dr Adam N Wallace, MD - Medicare Diagnostic Radiology in Rockford, IL

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Dr Adam N Wallace, MD is a medicare enrolled "Radiology - Neuroradiology" physician in Rockford, Illinois. He went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 2010 and has 14 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Baycare Aurora Llc, Sonoran Radiology Ltd, Zwanger And Pesiri Radiology Group Llp, Associated Valley Radiologists Ltd, Banner Imaging Services Llc, Associated Valley Radiologists Ltd, Zwanger And Pesiri Radiology Group Llp, Carle West Physician Group Inc and his current practice location is 8201 East Riverside Boulevard, Mercy Health Javon Bae Hospital, Rockford, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 971-5000.

Dr Adam N Wallace is licensed to practice in Illinois (license number 036.148822) 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 1801117585.

Contact Information

Dr Adam N Wallace, MD
8201 East Riverside Boulevard, Mercy Health Javon Bae Hospital,
Rockford, IL 61114-2300
(815) 971-5000
Not Available

Map and Direction




Physician's Profile

Full NameDr Adam N Wallace
GenderMale
SpecialityDiagnostic Radiology
Experience14 Years
Location8201 East Riverside Boulevard, Rockford, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Adam N Wallace attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 2010
  NPI Data:
  • NPI Number: 1801117585
  • Provider Enumeration Date: 06/17/2010
  • Last Update Date: 12/15/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4486883014
  • Enrollment ID: I20190509000180

Medical Identifiers

Medical identifiers for Dr Adam N Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801117585NPI-NPPES
200021565MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085N0700XRadiology - Neuroradiology 70505-20 (Wisconsin)Secondary
2085N0700XRadiology - Neuroradiology 61898 (Minnesota)Secondary
2085R0202XRadiology - Diagnostic Radiology DR.0068906 (Colorado)Secondary
2085R0202XRadiology - Diagnostic Radiology 2015013114 (Missouri)Secondary
2085R0202XRadiology - Diagnostic Radiology 319983 (New York)Secondary
2085R0202XRadiology - Diagnostic Radiology 036.148822 (Illinois)Secondary
2085N0700XRadiology - Neuroradiology 036.148822 (Illinois)Primary
2084N0400XPsychiatry & Neurology - Neurology 70505 (Wisconsin)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Banner Thunderbird Medical CenterGlendale, AZHospital
Banner Estrella Medical CenterPhoenix, AZHospital
Banner - University Medical Center PhoenixPhoenix, AZHospital
Bay Area Medical CenterMarinette, WIHospital
Aurora Baycare Medical CtrGreen bay, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Baycare Aurora Llc0244130557175
Sonoran Radiology Ltd3375964505393
Zwanger And Pesiri Radiology Group Llp509270079976
Associated Valley Radiologists Ltd832538849957
Banner Imaging Services Llc185072438685
Associated Valley Radiologists Ltd832538849957
Zwanger And Pesiri Radiology Group Llp509270079976
Carle West Physician Group Inc8921420308283

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. Dr Adam N Wallace allows following entities to bill medicare on his behalf.
Entity NameColumbia St Marys Hospital Milwaukee Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023064482
PECOS PAC ID: 5890604722
Enrollment ID: O20031105000057
Entity NameBaycare Aurora Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255387726
PECOS PAC ID: 0244130557
Enrollment ID: O20051012000579
Entity NameZwanger & Pesiri Radiology Group Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477523413
PECOS PAC ID: 5092700799
Enrollment ID: O20190415002356
Entity NameSonoran Radiology Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033745708
PECOS PAC ID: 3375964505
Enrollment ID: O20201105000714
Entity NameAdvanced Radiology Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740283324
PECOS PAC ID: 4284546516
Enrollment ID: O20220314000977
Entity NameSpartan Radiology Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932768058
PECOS PAC ID: 5698003697
Enrollment ID: O20220319000161
Entity NameAssociated Valley Radiologists Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932683257
PECOS PAC ID: 8325388499
Enrollment ID: O20220729001836
Entity NameElk Grove Imaging Associates Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497494033
PECOS PAC ID: 2961883459
Enrollment ID: O20230629003896
Entity NameDiagnostic Imaging Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194807271
PECOS PAC ID: 9133183213
Enrollment ID: O20230816001195

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. Dr Adam N 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
Dr Adam N Wallace, MD
2301 N Lake Dr Ste 1104,
Milwaukee, WI 53211-4508

Ph: (414) 585-3223		Dr Adam N Wallace, MD
8201 East Riverside Boulevard, Mercy Health Javon Bae Hospital,
Rockford, IL 61114-2300

Ph: (815) 971-5000

Reviews and Comments


Radiology Doctors in Rockford, IL

Christopher Vittore,
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Hyungmin Kang, MD
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Practice Location: 1401 E State St, Rockford, IL 61104
Phone: 815-489-4760    

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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.

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