John R Wallace, MD | |
1414 W Fair Ave, Suite 111, Marquette, MI 49855-2675 | |
(906) 225-7601 | |
(906) 225-7453 |
Full Name | John R Wallace |
---|---|
Gender | Male |
Speciality | Infectious Disease |
Experience | 39 Years |
Location | 1414 W Fair Ave, Marquette, Michigan |
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 |
---|---|---|---|
1457346967 | NPI | - | NPPES |
JW075195 | Other | MI | BCBSM |
110189987 | Other | MI | RAILROAD MEDICARE |
4138271 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | 4301075195 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Marquette General Hospital | Marquette, MI | Hospital |
Bell Hospital | Ishpeming, MI | Hospital |
Osf St Francis Hospital And Medical Group | Escanaba, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dlp Marquette Physician Practices Inc | 9931359601 | 151 |
Entity Name | Dlp Marquette Physician Practices Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487902995 PECOS PAC ID: 9931359601 Enrollment ID: O20121016000312 |
Mailing Address | Practice Location Address |
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John R Wallace, MD 4602 Dept, Carol Stream, IL 60122-0021 Ph: (906) 225-7601 | John R Wallace, MD 1414 W Fair Ave, Suite 111, Marquette, MI 49855-2675 Ph: (906) 225-7601 |
Dr. Robert John Carroll, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 850 W Baraga Ave, Marquette, MI 49855 Phone: 906-449-3000 | |
Kenneth Buran, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 850 W Baraga Ave Ste 32, Marquette, MI 49855 Phone: 906-449-3680 Fax: 833-916-2211 | |
Nelson Eric Gencheff, DO Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 1414 West Fair Avenue, Suite 334, Marquette, MI 49855 Phone: 906-225-3870 Fax: 906-225-4861 | |
Kaitlyn Marie Joyce, DO Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 1414 W Fair Ave Ste 201, Marquette, MI 49855 Phone: 906-225-4500 Fax: 906-225-3919 | |
John Michael Pap, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 1414 West Fair Avenue, Suite 334, Marquette, MI 49855 Phone: 906-225-3870 Fax: 906-225-4861 | |
Mr. Daniel J Arnold, MD Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 1414 W Fair Ave, Suite 332, Marquette, MI 49855 Phone: 906-225-3922 Fax: 906-225-4527 | |
Jasmine Joseph, MD Infectious Disease Medicare: Medicare Enrolled Practice Location: 1414 W Fair Ave, Ste 344, Marquette, MI 49855 Phone: 906-225-3910 Fax: 906-225-4529 |