Dr Philip C Wallace, MD in Bend, OR - Medicare Sports Medicine

Dr Philip C Wallace, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Bend, Oregon. He went to Meharry Medical College School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Sports Medicine. He is a member of the group practice Central Oregon Spine And Sports Llc and his current practice location is 2115 Ne Wyatt Ct., 101, Bend, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 323-6280.

Dr Philip C Wallace is licensed to practice in Oregon (license number MD152056) 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 1629258322.

Contact Information

	Dr Philip C Wallace, MD
	2115 Ne Wyatt Ct., 101, Bend, OR 97701-6324
	(541) 323-6280
	(541) 323-6288

Map and Direction

Physician's Profile

Full Name	Dr Philip C Wallace
Gender	Male
Speciality	Sports Medicine
Experience	19 Years
Location	2115 Ne Wyatt Ct., Bend, Oregon
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:

Dr Philip C Wallace attended and graduated from Meharry Medical College School Of Medicine in 2005

NPI Data:

NPI Number: 1629258322
Provider Enumeration Date: 11/09/2007
Last Update Date: 05/10/2017

Medicare PECOS Information:

PECOS PAC ID: 3971797838
Enrollment ID: I20101104000660

Medical Identifiers

Medical identifiers for Dr Philip C Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629258322	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208100000X	Physical Medicine & Rehabilitation	MD152056 (Oregon)	Primary
208100000X	Physical Medicine & Rehabilitation	P1432 (Texas)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Central Oregon Spine And Sports Llc	0244515641	3

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 Philip C Wallace allows following entities to bill medicare on his behalf.

Entity Name	Northwest Medical Specialist Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588674279 PECOS PAC ID: 3971562414 Enrollment ID: O20041008000861

Entity Name	Northwest Neuro Nerve Monitoring Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841581048 PECOS PAC ID: 9133343494 Enrollment ID: O20140607000185

Entity Name	Central Oregon Spine And Sports Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497293054 PECOS PAC ID: 0244515641 Enrollment ID: O20170328000436

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 Philip C 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 Philip C Wallace, MD 2115 Ne Wyatt Ct, Suite 101, Bend, OR 97701-7678 Ph: (541) 323-6280	Dr Philip C Wallace, MD 2115 Ne Wyatt Ct., 101, Bend, OR 97701-6324 Ph: (541) 323-6280

Reviews and Comments

Physical Medicine & Rehabilitation Doctors in Bend, OR

Andrew J Fecteau, PT Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 1441swchandler Ave 104, Bend, OR 97702 Phone: 541-280-4170
James O Nelson, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2200 Ne Neff Rd, Suite 200, Bend, OR 97701 Phone: 541-382-3344 Fax: 541-382-1681
Mathew Paluck, DO Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2200 Ne Neff Rd, Suite #200, Bend, OR 97701 Phone: 541-382-3344 Fax: 541-382-1681
Kari Lindegren, PT, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1476 Ne Mable Ct, Bend, OR 97701 Phone: 949-212-2058
Lewis Brian Barnett, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1501 Ne Medical Center Dr, Bend, OR 97701 Phone: 541-382-4900 Fax: 541-706-2398
Bessie Joy Perkey, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2200 Ne Neff Rd Ste 200, Bend, OR 97701 Phone: 541-382-3344
Viviane Ugalde, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2200 Ne Neff Rd, Ste 200, Bend, OR 97701 Phone: 541-382-3344 Fax: 541-382-1681

Dr Philip C Wallace, MD - Medicare Sports Medicine in Bend, OR