James M Wallace, MD | |
235 E State St, Saint Croix Falls, WI 54024-4117 | |
(715) 483-3221 | |
(715) 483-0507 |
Full Name | James M Wallace |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 30 Years |
Location | 235 E State St, Saint Croix Falls, Wisconsin |
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 |
---|---|---|---|
1902908718 | NPI | - | NPPES |
HP27845 | Other | HEALTHPARTNERS | |
64Q42WA | Other | MN | BLUE CROSS MN PRO FEE |
948017000 | Medicaid | MN | |
110168453 | Other | RAILROAD | |
NA9031017009 | Other | PREFERREDONE | |
32379700 | Medicaid | WI | |
0413704 | Other | MEDICA | |
27G52WA | Other | MN | BLUE CROSS MN FACILITY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 37316 (Wisconsin) | Secondary |
207R00000X | Internal Medicine | 37316 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Good Samaritan Society Home Care | St croix falls, WI | Home health agency |
Adoray Home Health | Baldwin, WI | Home health agency |
St Croix Hospice | Eau claire, WI | Hospice |
St Croix Regional Medical Ctr | Saint croix falls, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St. Croix Regional Medical Center | 9335032184 | 147 |
Entity Name | St. Croix Regional Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043240922 PECOS PAC ID: 9335032184 Enrollment ID: O20110929000165 |
Mailing Address | Practice Location Address |
---|---|
James M Wallace, MD 235 E State St, Saint Croix Falls, WI 54024-4117 Ph: (715) 483-3221 | James M Wallace, MD 235 E State St, Saint Croix Falls, WI 54024-4117 Ph: (715) 483-3221 |
Muhammad Talha Khan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 235 E State St, Saint Croix Falls, WI 54024 Phone: 715-483-3221 Fax: 715-483-0539 | |
James R Kravig, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 204 S Adams St, Saint Croix Falls, WI 54024 Phone: 715-483-3221 | |
Glenn A Nickele, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 216 S Adams St, Saint Croix Falls, WI 54024 Phone: 715-483-3221 Fax: 715-483-0507 | |
Dr. Lucas Pineda Bernal, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 235 E State St, Saint Croix Falls, WI 54024 Phone: 715-483-3221 Fax: 715-483-0507 | |
Semi Ayub, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 235 E State St, Saint Croix Falls, WI 54024 Phone: 715-483-3221 Fax: 715-483-0507 | |
David C Stevens, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 204 S Adams St, Saint Croix Falls, WI 54024 Phone: 715-483-3221 | |
Carl W Hansen, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 204 S Adams St, Saint Croix Falls, WI 54024 Phone: 715-483-3221 |