Dr Genevieve Rebecca Wallace, MD | |
1056 S 88th St, Louisville, CO 80027-9460 | |
(303) 442-6647 | |
(303) 442-2696 |
Full Name | Dr Genevieve Rebecca Wallace |
---|---|
Gender | Female |
Speciality | Dermatology |
Experience | 16 Years |
Location | 1056 S 88th St, Louisville, Colorado |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750560579 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZD0900X | Pathology - Dermatopathology | 57122 (Colorado) | Secondary |
207N00000X | Dermatology | DR.0057122 (Colorado) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dermatology Specialists Of Boulder Pc | 3678668761 | 12 |
Entity Name | Dermatology Specialists Of Boulder Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053449306 PECOS PAC ID: 3678668761 Enrollment ID: O20071004000308 |
Mailing Address | Practice Location Address |
---|---|
Dr Genevieve Rebecca Wallace, MD 1056 S 88th St, Louisville, CO 80027-9460 Ph: (303) 442-6647 | Dr Genevieve Rebecca Wallace, MD 1056 S 88th St, Louisville, CO 80027-9460 Ph: (303) 442-6647 |
Dr. Rachel Nicole Simmons, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1056 S 88th St, Louisville, CO 80027 Phone: 034-426-6473 Fax: 303-442-2696 | |
Dr. Yan Isabel Zhu, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1371 Hecla Dr Ste C2, Louisville, CO 80027 Phone: 303-427-0432 Fax: 855-504-1008 | |
Dr. Christina S Gamba, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1056 S 88th St, Louisville, CO 80027 Phone: 303-442-6647 Fax: 303-442-2696 |