Dr Andrew Nels Wallace, DO in Portland, OR - Medicare Internal Medicine

Dr Andrew Nels Wallace, DO is a medicare enrolled "Internal Medicine - Infectious Disease" physician in Portland, Oregon. He went to Edward Via Col Of Osteo Medicine-carolinas Campus and graduated in 2016 and has 8 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice The Moses H Cone Memorial Hospital Operating Corporation and his current practice location is 5050 Ne Hoyt St Ste 540, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 215-6601.

Dr Andrew Nels Wallace is licensed to practice in Oregon (license number DO219563) 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 1912361502.

Contact Information

	Dr Andrew Nels Wallace, DO
	5050 Ne Hoyt St Ste 540, Portland, OR 97213-2985
	(503) 215-6601
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Andrew Nels Wallace
Gender	Male
Speciality	Internal Medicine
Experience	8 Years
Location	5050 Ne Hoyt St Ste 540, Portland, Oregon
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:

Dr Andrew Nels Wallace attended and graduated from Edward Via Col Of Osteo Medicine-carolinas Campus in 2016

NPI Data:

NPI Number: 1912361502
Provider Enumeration Date: 04/08/2016
Last Update Date: 10/01/2024

Medicare PECOS Information:

PECOS PAC ID: 9335433648
Enrollment ID: I20210824002046

Medical Identifiers

Medical identifiers for Dr Andrew Nels Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912361502	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	DO219563 (Oregon)	Secondary
207RI0200X	Internal Medicine - Infectious Disease	DO219563 (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Moses H. Cone Memorial Hospital, The	Greensboro, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Moses H Cone Memorial Hospital Operating Corporation	6204744600	490

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 Andrew Nels Wallace allows following entities to bill medicare on his behalf.

Entity Name	The Moses H Cone Memorial Hospital Operating Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356372064 PECOS PAC ID: 6204744600 Enrollment ID: O20031124000541

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 Andrew Nels 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
Dr Andrew Nels Wallace, DO Po Box 3158, Portland, OR 97208-3158 Ph: (503) 215-6494	Dr Andrew Nels Wallace, DO 5050 Ne Hoyt St Ste 540, Portland, OR 97213-2985 Ph: (503) 215-6601

Reviews and Comments

Internal Medicine Doctors in Portland, OR

Salona Shrestha, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 4805 Ne Glisan St, Portland, OR 97213 Phone: 503-215-2392
Dr. Emmanuel Trungtoan Tavan, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 2800 N Vancouver Ave, Suite 230, Portland, OR 97227 Phone: 503-413-2901
Ginevra Lois Liptan, M.D. Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 6400 Sw Canyon Ct, Ste 100, Portland, OR 97221 Phone: 503-477-9616 Fax: 503-477-9808
Donald Richard Sullivan, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Uhn67, Portland, OR 97239 Phone: 503-494-6949
Dr. Victor Nguyen Pham, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 9205 Sw Barnes Rd, Portland, OR 97225 Phone: 503-216-2906
Richa Uppal, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 800 Sw 13th Ave, Portland, OR 97205 Phone: 503-221-0161 Fax: 503-274-1697
Reem Hasan, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Ppv 350, Portland, OR 97239 Phone: 503-494-8562

Dr Andrew Nels Wallace, DO - Medicare Internal Medicine in Portland, OR