Dr Daniel G Wallace, MD in La Mesa, CA - Medicare Internal Medicine

Dr Daniel G Wallace, MD is a medicare enrolled "Internal Medicine" physician in La Mesa, California. His current practice location is 3875 Avocado Blvd, La Mesa, California. You can reach out to his office (for appointments etc.) via phone at (800) 290-5000.

Dr Daniel G Wallace is licensed to practice in California (license number G71835) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1184656860.

Contact Information

	Dr Daniel G Wallace, MD
	3875 Avocado Blvd, La Mesa, CA 91941-7303
	(800) 290-5000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Daniel G Wallace
Gender	Male
Speciality	Internal Medicine
Location	3875 Avocado Blvd, La Mesa, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184656860
Provider Enumeration Date: 07/06/2006
Last Update Date: 11/30/2021

Medicare PECOS Information:

PECOS PAC ID: 0648376806
Enrollment ID: I20070503000597

Medical Identifiers

Medical identifiers for Dr Daniel G Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184656860	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	G71835 (California)	Primary

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 Daniel G Wallace allows following entities to bill medicare on his behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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 Daniel G 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 Daniel G Wallace, MD 393 E Walnut St, Pasadena, CA 91188-0001 Ph: (800) 290-5000	Dr Daniel G Wallace, MD 3875 Avocado Blvd, La Mesa, CA 91941-7303 Ph: (800) 290-5000

Reviews and Comments

Internal Medicine Doctors in La Mesa, CA

Alborz Hassankhani, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5525 Grossmont Center Dr Ste 609, La Mesa, CA 91942 Phone: 619-668-0044 Fax: 619-245-2481
Paul Y Abou, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-465-0711
Rosemary Ting Tu, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 5565 Grossmont Center Dr, Bldg.#1, Suite#112, La Mesa, CA 91942 Phone: 619-469-5400 Fax: 619-464-1311
Dr. Lloyd Stuart Kuritsky, D.O. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 8851 Center Dr, Suite 408, La Mesa, CA 91942 Phone: 619-589-8626 Fax: 619-589-8864
Purushotham Kotha, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8860 Center Dr, #400, La Mesa, CA 91942 Phone: 619-229-1995
Dr. Leila Sofia Bolandgray, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-937-6349 Fax: 866-313-8916
Michael H Michalski, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5358 Jackson Dr, Suite 1, La Mesa, CA 91942 Phone: 619-667-7072 Fax: 619-667-7064

Dr Daniel G Wallace, MD - Medicare Internal Medicine in La Mesa, CA