Dr Nicholas Wallace, MD | |
3016 Barclay Way, Ann Arbor, MI 48105-9464 | |
(616) 309-3319 | |
Not Available |
Full Name | Dr Nicholas Wallace |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 8 Years |
Location | 3016 Barclay Way, Ann Arbor, Michigan |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780033928 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 4301110098 (Michigan) | Secondary |
207X00000X | Orthopaedic Surgery | 75714 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Methodist Hospitals Inc | Gary, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Methodist Hospitals Inc | 9638063894 | 87 |
Entity Name | The Methodist Hospitals Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720290349 PECOS PAC ID: 9638063894 Enrollment ID: O20040210000526 |
Mailing Address | Practice Location Address |
---|---|
Dr Nicholas Wallace, MD 3016 Barclay Way, Ann Arbor, MI 48105-9464 Ph: () - | Dr Nicholas Wallace, MD 3016 Barclay Way, Ann Arbor, MI 48105-9464 Ph: (616) 309-3319 |
John David Blaha, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 24 Frank Lloyd Wright Dr, Lobby A, Ann Arbor, MI 48105 Phone: 734-930-7400 | |
Elizabeth Ann Dailey, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000 | |
Davin Gong, Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1500 E Medical Center Dr Spc 5328, Ann Arbor, MI 48109 Phone: 734-232-9432 | |
Kempland Walley, Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1500 E Medical Center Dr Spc 5328, Ann Arbor, MI 48109 Phone: 734-232-9432 | |
Vandan Dilip Patel, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2098 S Main St, Ann Arbor, MI 48103 Phone: 734-936-5780 | |
Aditya Muralidharan, Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1500 E Medical Center Dr Spc 5328, Ann Arbor, MI 48109 Phone: 734-232-9432 | |
Nicholas Farrar, Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1500 E Medical Center Dr Spc 5328, Ann Arbor, MI 48109 Phone: 734-232-9432 |