James W Wallace, MD | |
1600 W 22nd St, Sioux Falls, SD 57105-1521 | |
(605) 312-1000 | |
(605) 312-1001 |
Full Name | James W Wallace |
---|---|
Gender | Male |
Speciality | Pediatric Medicine |
Experience | 39 Years |
Location | 1600 W 22nd St, Sioux Falls, South Dakota |
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 |
---|---|---|---|
1730135070 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 3549 (South Dakota) | Secondary |
208000000X | Pediatrics | 30538 (Iowa) | Secondary |
2080P0214X | Pediatrics - Pediatric Pulmonology | 3549 (South Dakota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sanford Clinic | 0244143824 | 228 |
Entity Name | Sanford Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396764254 PECOS PAC ID: 0244143824 Enrollment ID: O20031110000532 |
Entity Name | Sanford Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821017880 PECOS PAC ID: 8325950215 Enrollment ID: O20040115000388 |
Mailing Address | Practice Location Address |
---|---|
James W Wallace, MD Po Box 5074, Sioux Falls, SD 57117-5074 Ph: (605) 328-6585 | James W Wallace, MD 1600 W 22nd St, Sioux Falls, SD 57105-1521 Ph: (605) 312-1000 |
Dr. Shari L Eich, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2100 S Marion Rd, Sioux Falls, SD 57106 Phone: 605-322-1010 Fax: 605-322-1011 | |
Michael Elliott, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1200 S 7th Ave, Ste 2, Sioux Falls, SD 57105 Phone: 605-336-2140 | |
Brock J Doubledee, D.O. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1600 W 22nd, Sioux Falls, SD 57105 Phone: 605-312-1000 Fax: 605-312-1001 | |
Katherine Wang, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1325 S Cliff Ave, Sioux Falls, SD 57105 Phone: 605-322-4425 Fax: 605-322-4499 | |
Kayelyn J. Wagner, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 W 22nd St, Sioux Falls, SD 57105 Phone: 605-312-1000 Fax: 605-312-1001 | |
Gulsah Olgun, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1205 S Grange Ave Ste 307, Sioux Falls, SD 57105 Phone: 605-328-7800 Fax: 605-328-7899 | |
Mrs. Katie Elizabeth Larson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1205 S Grange Ave, Suite 307, Sioux Falls, SD 57105 Phone: 605-328-7800 Fax: 605-328-7899 |