Dr Roger Charles Wallace, MD | |
23845 Mcbean Pkwy, Valencia, CA 91355-2001 | |
(661) 253-8112 | |
(661) 253-8119 |
Full Name | Dr Roger Charles Wallace |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 26 Years |
Location | 23845 Mcbean Pkwy, Valencia, California |
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 |
---|---|---|---|
1083645501 | NPI | - | NPPES |
00A713060 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | A71306 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Henry Mayo Newhall Hospital | Valencia, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cep America - California | 6103739131 | 974 |
Entity Name | Cep America - California |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548667843 PECOS PAC ID: 6103739131 Enrollment ID: O20040121000458 |
Entity Name | Santa Clarita Emergency Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750318119 PECOS PAC ID: 4385544642 Enrollment ID: O20040630000326 |
Mailing Address | Practice Location Address |
---|---|
Dr Roger Charles Wallace, MD Po Box 661540, Arcadia, CA 91066-1540 Ph: (626) 447-0296 | Dr Roger Charles Wallace, MD 23845 Mcbean Pkwy, Valencia, CA 91355-2001 Ph: (661) 253-8112 |
Maya M Kido, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 23845 Mcbean Pkwy, Valencia, CA 91355 Phone: 661-200-1601 | |
Okemefuna I. Okpara, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 28212 Kelly Johnson Pkwy Ste 200, Valencia, CA 91355 Phone: 213-228-3538 Fax: 213-223-8912 | |
Dr. John C. Meher, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 23845 Mcbean Pkwy, Valencia, CA 91355 Phone: 661-200-1601 | |
Dr. Oliver Jerome Sahagun, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 23845 Mcbean Pkwy, Valencia, CA 91355 Phone: 661-253-8112 Fax: 661-253-8119 | |
Dr. Raymond Earl Henry, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 23845 Mcbean Pkwy, Valencia, CA 91355 Phone: 661-253-8112 Fax: 661-253-8119 | |
Dr. Jason Scott Ziemba, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 23845 Mcbean Pkwy, Valencia, CA 91355 Phone: 661-253-8112 Fax: 661-253-8119 |