Justin Robert Wallace, MD - Medicare Vascular Surgery in Cranberry Township, PA

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Justin Robert Wallace, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Cranberry Township, Pennsylvania. He went to University Of California, Geffen School Of Medicine and graduated in 2008 and has 16 years of diverse experience with area of expertise as Vascular Surgery. He is a member of the group practice Butler Medical Providers and his current practice location is 51 Dutilh Rd Ste 100, Cranberry Township, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (724) 278-3484.

Justin Robert Wallace is licensed to practice in Pennsylvania (license number MD443733) 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 1033372594.

Contact Information

Justin Robert Wallace, MD
51 Dutilh Rd Ste 100,
Cranberry Township, PA 16066-4148
(724) 278-3484
Not Available

Map and Direction




Physician's Profile

Full NameJustin Robert Wallace
GenderMale
SpecialityVascular Surgery
Experience16 Years
Location51 Dutilh Rd Ste 100, Cranberry Township, Pennsylvania
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Justin Robert Wallace attended and graduated from University Of California, Geffen School Of Medicine in 2008
  NPI Data:
  • NPI Number: 1033372594
  • Provider Enumeration Date: 07/05/2008
  • Last Update Date: 02/09/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0244542488
  • Enrollment ID: I20150701001121

Medical Identifiers

Medical identifiers for Justin Robert Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033372594NPI-NPPES
103020618MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0129XSurgery - Vascular Surgery MD443733 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Butler Memorial HospitalButler, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Butler Medical Providers7416840160294

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. Justin Robert Wallace allows following entities to bill medicare on his behalf.
Entity NameButler Medical Providers
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619493046
PECOS PAC ID: 7416840160
Enrollment ID: O20040205000830
Entity NameExcela Health Physician Practices, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821225202
PECOS PAC ID: 6204737117
Enrollment ID: O20040322001393
Entity NameGeskin Medical Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447812607
PECOS PAC ID: 4981006640
Enrollment ID: O20210719000151
Entity NameGps Cranberry Llc.
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1043955305
PECOS PAC ID: 5698159150
Enrollment ID: O20220901000020
Entity NameWallace Vascular, Llc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629796941
PECOS PAC ID: 1052797172
Enrollment ID: O20220927002855

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. Justin Robert 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 AddressPractice Location Address
Justin Robert Wallace, MD
238 S. Pennsylvania Ave. #775,
Greensburg, PA 15601-3661

Ph: (724) 278-3484		Justin Robert Wallace, MD
51 Dutilh Rd Ste 100,
Cranberry Township, PA 16066-4148

Ph: (724) 278-3484

Reviews and Comments


Surgery Doctors in Cranberry Township, PA


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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