Dr John G Wallace, MD is a
Psychiatry & Neurology - Psychiatry physician based in Shoreline, Washington. Dr John G Wallace is licensed to practice in Washington (license number 00008964) and his current practice location is 17515 N Park Pl N, Shoreline, Washington. He can be reached at his office (for appointments etc.) via phone at
(206) 533-2158.
NPI number for Dr John G Wallace is 1346379161 and his current mailing address is 17515 N Park Pl N, Shoreline, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1346379161.
Physician's Profile
| Full Name | Dr John G Wallace |
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| Gender | Male |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 17515 N Park Pl N, Shoreline, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1346379161
- Provider Enumeration Date: 03/05/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr John G Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1346379161 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 00008964 (Washington) | Primary |
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 John G Wallace is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr John G Wallace, MD 17515 N Park Pl N, Shoreline, WA 98133-4803 Ph: (206) 533-2158 | Dr John G Wallace, MD 17515 N Park Pl N, Shoreline, WA 98133-4803 Ph: (206) 533-2158 |
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