Dr Mark Kowalski Wallace, MD in San Antonio, TX

Dr Mark Kowalski Wallace, MD is a medicare enrolled "Internal Medicine - Endocrinology, Diabetes & Metabolism" physician in San Antonio, Texas. His current practice location is 3851 Roger Brooke Dr, Ft Sam Houston, San Antonio, Texas. You can reach out to his office (for appointments etc.) via phone at (210) 916-0775.

Dr Mark Kowalski Wallace is licensed to practice in Indiana (license number 01053948A) 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 1548250103.

Contact Information

	Dr Mark Kowalski Wallace, MD
	3851 Roger Brooke Dr, Ft Sam Houston, San Antonio, TX 78234
	(210) 916-0775
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Mark Kowalski Wallace
Gender	Male
Speciality	Internal Medicine - Endocrinology, Diabetes & Metabolism
Location	3851 Roger Brooke Dr, San Antonio, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548250103
Provider Enumeration Date: 10/25/2005
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 0840469375
Enrollment ID: I20110817000777

Medical Identifiers

Medical identifiers for Dr Mark Kowalski Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548250103	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RE0101X	Internal Medicine - Endocrinology, Diabetes & Metabolism	01053948A (Indiana)	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 Mark Kowalski 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
Dr Mark Kowalski Wallace, MD 12443 Tech Ridge Blvd, #712, Austin, TX 78753 Ph: (210) 818-7958	Dr Mark Kowalski Wallace, MD 3851 Roger Brooke Dr, Ft Sam Houston, San Antonio, TX 78234 Ph: (210) 916-0775

Reviews and Comments

Internal Medicine Doctors in San Antonio, TX

Dr. Dennis Anthony Ruff, M.D. Endocrinology, Diabetes & Metabolism Medicare: Not Enrolled in Medicare Practice Location: 8307 Gault Ln, San Antonio, TX 78209 Phone: 210-798-5112
Eduardo N. Pollono, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 4502 Medical Dr, San Antonio, TX 78229 Phone: 210-358-4000 Fax: 210-567-6960
Zarema J Singson, M.D. Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 5223 Hamilton Wolfe Rd, San Antonio, TX 78229 Phone: 210-614-1234 Fax: 210-614-0952
Sapna Raghunathan, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 8300 Floyd Curl Dr, San Antonio, TX 78229 Phone: 210-450-9490 Fax: 210-450-6065
Dr. Jonathan Edward Slovik, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 4502 Medical Dr, San Antonio, TX 78229 Phone: 210-358-4000 Fax: 210-358-0647
Mr. Paul Joseph Fanucchi, NP Endocrinology, Diabetes & Metabolism Medicare: Not Enrolled in Medicare Practice Location: Marianist Residence, 520 Fondham, San Antonio, TX 78228 Phone: 210-434-4157 Fax: 210-433-6005
Socrates B Aramburu, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 1100 Mccullough Ave, Suite 300, San Antonio, TX 78212 Phone: 210-271-3204 Fax: 210-222-2761

Dr Mark Kowalski Wallace, MD - Medicare Internal Medicine in San Antonio, TX