Justin Robert Wallace, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Cranberry Township, Pennsylvania. 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.
Physician's Profile
Full Name | Justin Robert Wallace |
---|
Gender | Male |
---|
Speciality | |
---|
Experience | Years |
---|
Location | 51 Dutilh Rd Ste 100, Cranberry Township, Pennsylvania |
---|
Accepts Medicare Assignments | Yes. 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 in
NPI Data:
- NPI Number: 1033372594
- Provider Enumeration Date: 07/05/2008
- Last Update Date: 02/09/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Justin Robert Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033372594 | NPI | - | NPPES |
103020618 | Medicaid | PA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2086S0129X | Surgery - Vascular Surgery | MD443733 (Pennsylvania) | 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. 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 Address | Practice 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