Dr Christopher Alan Wallace, MD | |
270 Farmington Avenue, Suite 332, Farmington, CT 06089 | |
(888) 276-2223 | |
(972) 767-0225 |
Full Name | Dr Christopher Alan Wallace |
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Gender | Male |
Speciality | Pathology |
Experience | 27 Years |
Location | 270 Farmington Avenue, Farmington, Connecticut |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164447215 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZD0900X | Pathology - Dermatopathology | 041939 (Connecticut) | Secondary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 041939 (Connecticut) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Eastern Connecticut Pathology Consultants, Pc | 3173511581 | 16 |
Entity Name | Eastern Connecticut Pathology Consultants, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558326991 PECOS PAC ID: 3173511581 Enrollment ID: O20040504001328 |
Entity Name | Cutaneous Pathology Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346658978 PECOS PAC ID: 1658698592 Enrollment ID: O20150402000724 |
Mailing Address | Practice Location Address |
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Dr Christopher Alan Wallace, MD Po Box 840294, Dallas, TX 75284-0294 Ph: (888) 344-1160 | Dr Christopher Alan Wallace, MD 270 Farmington Avenue, Suite 332, Farmington, CT 06089 Ph: (888) 276-2223 |
Dr. Maryam J Zenali, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-2980 Fax: 860-679-4334 | |
Dollett Tanisha White, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 11 Shuttle Rd, Farmington, CT 06032 Phone: 860-679-3980 | |
Esma Ersoy, MD Pathology Medicare: Medicare Enrolled Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-2980 Fax: 860-679-4334 | |
Margaret Grunnet, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-2980 Fax: 860-679-4334 | |
Christina Stanley, Pathology Medicare: Not Enrolled in Medicare Practice Location: 11 Shuttle Rd, Farmington, CT 06032 Phone: 860-679-1076 | |
Qian Wu, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-2980 Fax: 860-679-4334 |