Eric Wallace, MD - Medicare Diagnostic Radiology in Ventura, CA

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Eric Wallace, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Ventura, California. He went to Loma Linda University School Of Medicine and graduated in 1999 and has 26 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Whidbey Island Public Hospital District, Jefferson County Public Hospital District No 2, Skagit Radiology Inc Ps, Bellingham Advanced Medical Imaging Llc, Whidbey Island Public Hospital District, Fairbanks Medical Imaging Llc, Skagit Digital Imaging Llc, Skagit Radiology Inc Ps, North Star Medical Imaging Pllc, Bellingham Advanced Medical Imaging Llc and his current practice location is 168 N Brent St, Suite 402, Ventura, California. You can reach out to his office (for appointments etc.) via phone at (888) 234-0004.

Eric Wallace is licensed to practice in California (license number A85195) 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 1578502191.

Contact Information

Eric Wallace, MD
168 N Brent St, Suite 402,
Ventura, CA 93003-2817
(888) 234-0004
(805) 641-3965

Map and Direction




Physician's Profile

Full NameEric Wallace
GenderMale
SpecialityDiagnostic Radiology
Experience26 Years
Location168 N Brent St, Ventura, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Eric Wallace attended and graduated from Loma Linda University School Of Medicine in 1999
  NPI Data:
  • NPI Number: 1578502191
  • Provider Enumeration Date: 06/06/2006
  • Last Update Date: 11/14/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 3577506690
  • Enrollment ID: I20210317001829

Medical Identifiers

Medical identifiers for Eric Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578502191NPI-NPPES
00A851950OtherCABLUESHIELD OF CA
00A851950MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology A85195 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Skagit Valley HospitalMount vernon, WAHospital
Island HospitalAnacortes, WAHospital
Whidbeyhealth Medical CenterCoupeville, WAHospital
Central Peninsula General HospitalSoldotna, AKHospital
Jefferson HealthcarePort townsend, WAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Whidbey Island Public Hospital District165828068071
Jefferson County Public Hospital District No 24789593708105
Skagit Radiology Inc Ps711381521822
Bellingham Advanced Medical Imaging Llc973944682419
Whidbey Island Public Hospital District165828068071
Fairbanks Medical Imaging Llc408289440720
Skagit Digital Imaging Llc448654320420
Skagit Radiology Inc Ps711381521822
North Star Medical Imaging Pllc721400509920
Bellingham Advanced Medical Imaging Llc973944682419

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. Eric Wallace allows following entities to bill medicare on his behalf.
Entity NameJefferson County Public Hospital District No 2
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356492953
PECOS PAC ID: 4789593708
Enrollment ID: O20031111000542
Entity NameWhidbey Island Public Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710927231
PECOS PAC ID: 1658280680
Enrollment ID: O20040210000761
Entity NameSkagit Radiology Inc Ps
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932218757
PECOS PAC ID: 7113815218
Enrollment ID: O20040309001447
Entity NameSkagit Digital Imaging Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043328636
PECOS PAC ID: 4486543204
Enrollment ID: O20040311000384
Entity NameNorth Star Medical Imaging Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144489824
PECOS PAC ID: 7214005099
Enrollment ID: O20090630000392
Entity NameFairbanks Medical Imaging Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528360625
PECOS PAC ID: 4082894407
Enrollment ID: O20110225000012
Entity NameBellingham Advanced Medical Imaging Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730605965
PECOS PAC ID: 9739446824
Enrollment ID: O20171129002456
Entity NameIliuliuk Family And Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376520692
PECOS PAC ID: 5294635165
Enrollment ID: O20231030001236

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. Eric 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
Eric Wallace, MD
4100 Guardian St, Ste 205,
Simi Valley, CA 93063-6721

Ph: (855) 504-4544		Eric Wallace, MD
168 N Brent St, Suite 402,
Ventura, CA 93003-2817

Ph: (888) 234-0004

Reviews and Comments


Radiology Doctors in Ventura, CA

Dr. John Mcmahan, M.D.
Radiology
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Practice Location: 3291 Loma Vista Rd, Ventura, CA 93003
Phone: 805-652-6556    
Dr. Bruce Matthews, M.D.
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Practice Location: 3291 Loma Vista Rd, Ventura, CA 93003
Phone: 805-652-6556    
Dr. Duke K Bahn, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 168 N Brent St, #402, Ventura, CA 93003
Phone: 888-234-0004    Fax: 888-641-3965
Kyu Choi, MD
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Practice Location: 147 N Brent St, Radiology Department, Ventura, CA 93003
Phone: 805-652-5028    
Dr. Matthew Carr, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 3291 Loma Vista Rd, Ventura, CA 93003
Phone: 805-652-6556    
Dr. Reed M. Horwitz, M.D.
Radiology
Medicare: Medicare Enrolled
Practice Location: 3291 Loma Vista Rd, Department Of Radiology Vcmc, Ventura, CA 93003
Phone: 805-652-6080    Fax: 805-652-3399

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.