Dr Mark Allen Wallace, DO - Medicare Otolaryngology in Sault Sainte Marie, MI

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Dr Mark Allen Wallace, DO is a medicare enrolled "Otolaryngology - Otolaryngology/facial Plastic Surgery" physician in Sault Sainte Marie, Michigan. His current practice location is 333 Magazine St, Suite 101, Sault Sainte Marie, Michigan. You can reach out to his office (for appointments etc.) via phone at (906) 259-0244.

Dr Mark Allen Wallace is licensed to practice in Michigan (license number 5101015234) 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 1952591828.

Contact Information

Dr Mark Allen Wallace, DO
333 Magazine St, Suite 101,
Sault Sainte Marie, MI 49783-1867
(906) 259-0244
(906) 259-0247

Map and Direction




Physician's Profile

Full NameDr Mark Allen Wallace
GenderMale
SpecialityOtolaryngology - Otolaryngology/facial Plastic Surgery
Location333 Magazine St, Sault Sainte Marie, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1952591828
  • Provider Enumeration Date: 07/27/2007
  • Last Update Date: 10/15/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 4385724004
  • Enrollment ID: I20190814000245

Medical Identifiers

Medical identifiers for Dr Mark Allen Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952591828NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207YX0905XOtolaryngology - Otolaryngology/facial Plastic Surgery 5101015234 (Michigan)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 Mark Allen Wallace allows following entities to bill medicare on his behalf.
Entity NameCommonwealth Healthcare Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285858290
PECOS PAC ID: 7719075167
Enrollment ID: O20071212000093

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 Mark Allen 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
Dr Mark Allen Wallace, DO
333 Magazine St, Suite 101,
Sault Sainte Marie, MI 49783-1867

Ph: (906) 259-0244		Dr Mark Allen Wallace, DO
333 Magazine St, Suite 101,
Sault Sainte Marie, MI 49783-1867

Ph: (906) 259-0244

Reviews and Comments


Otolaryngology Doctors in Sault Sainte Marie, MI


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.