Erin Michelle Wallace, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Woodburn, Oregon. She went to Oregon Health Sciences University School Of Medicine and graduated in 2010 and has 15 years of diverse experience with area of expertise as Psychiatry. She is a member of the group practice Kaiser Foundation Health Plan Of The Northwest and her current practice location is
1475 Mount Hood Ave Ste 160, Woodburn, Oregon. You can reach out to her office (for appointments etc.) via phone at
(971) 983-5214.
Erin Michelle Wallace is licensed to practice in Oregon (license number MD164348) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1730405598.
Physician's Profile
| Full Name | Erin Michelle Wallace |
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| Gender | Female |
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| Speciality | Psychiatry |
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| Experience | 15 Years |
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| Location | 1475 Mount Hood Ave Ste 160, Woodburn, Oregon |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Erin Michelle Wallace attended and graduated from Oregon Health Sciences University School Of Medicine in 2010
NPI Data:
- NPI Number: 1730405598
- Provider Enumeration Date: 04/19/2010
- Last Update Date: 04/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 4981849684
- Enrollment ID: I20140910002169
Medical Identifiers
Medical identifiers for Erin Michelle Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1730405598 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD164348 (Oregon) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Kaiser Foundation Health Plan Of The Northwest | 5799688230 | 1484 |
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. Erin Michelle Wallace allows following entities to bill medicare on her behalf.
| Entity Name | Silverton Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669424354
PECOS PAC ID: 8921901877
Enrollment ID: O20040129000172 |
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| Entity Name | Kaiser Foundation Health Plan Of The Northwest |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184786527
PECOS PAC ID: 5799688230
Enrollment ID: O20040130000799 |
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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. Erin Michelle 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 |
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Erin Michelle Wallace, MD
Po Box 3417,
Portland, OR 97208-3417
Ph: (503) 413-3900 | Erin Michelle Wallace, MD
1475 Mount Hood Ave Ste 160,
Woodburn, OR 97071-9263
Ph: (971) 983-5214 |
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