Dr Michael J Wallace, MD - Medicare Anesthesiology in Santa Monica, CA

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Dr Michael J Wallace, MD is a medicare enrolled "Anesthesiology" physician in Santa Monica, California. His current practice location is 1328 22nd St, Santa Monica, California. You can reach out to his office (for appointments etc.) via phone at (310) 471-5852.

Dr Michael J Wallace is licensed to practice in California (license number C41232) 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 1144304353.

Contact Information

Dr Michael J Wallace, MD
1328 22nd St,
Santa Monica, CA 90404-2032
(310) 471-5852
(310) 471-3958

Map and Direction




Physician's Profile

Full NameDr Michael J Wallace
GenderMale
SpecialityAnesthesiology
Location1328 22nd St, Santa Monica, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1144304353
  • Provider Enumeration Date: 10/24/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 8921274762
  • Enrollment ID: I20111229000243

Medical Identifiers

Medical identifiers for Dr Michael J Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144304353NPI-NPPES
GR0061790MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology C41232 (California)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 Michael J Wallace allows following entities to bill medicare on his behalf.
Entity NameBayside Anesthesia Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184668469
PECOS PAC ID: 2466490560
Enrollment ID: O20050419001522

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 Michael J 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 Michael J Wallace, MD
11999 San Vicente Blvd, #440,
Los Angeles, CA 90049-5131

Ph: (310) 471-5852		Dr Michael J Wallace, MD
1328 22nd St,
Santa Monica, CA 90404-2032

Ph: (310) 471-5852

Reviews and Comments


Anesthesiology Doctors in Santa Monica, CA

Vivek Ram Vallurupalli, MD
Anesthesiology
Medicare: Medicare Enrolled
Practice Location: 2121 Santa Monica Blvd, Santa Monica, CA 90404
Phone: 310-829-5511    
Dr. Daniel Sompoj Tongbai, M.D.
Anesthesiology
Medicare: Medicare Enrolled
Practice Location: 1245 16th St Ste 225, Santa Monica, CA 90404
Phone: 310-319-2241    Fax: 310-319-2263
Dr. Sophie M. Andriaschuk, M.D.
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 1328 22nd St, Santa Monica, CA 90404
Phone: 310-829-8202    
Daniel Cherkassky, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 2121 Santa Monica Blvd, Santa Monica, CA 90404
Phone: 650-823-8969    
Dr. David Asher Rakoff, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 1328 22nd St, Santa Monica, CA 90404
Phone: 310-423-2056    Fax: 310-423-8232
Mark S. Goh, M.D.
Anesthesiology
Medicare: Medicare Enrolled
Practice Location: 1328 22nd St, Santa Monica, CA 90404
Phone: 310-829-8202    Fax: 310-829-8209
Dr. Kevin M. Miller, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 1328 22nd St, St. John's Anesthesia Department, Santa Monica, CA 90404
Phone: 818-712-0598    Fax: 818-712-0598

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.