John T Wallace Ii, MD - Medicare Internal Medicine in Fort Bragg, CA

John T Wallace Ii, MD is a medicare enrolled "Internal Medicine" physician in Fort Bragg, California. His current practice location is 205 South St, Fort Bragg, California. You can reach out to his office (for appointments etc.) via phone at (707) 964-1251.

John T Wallace Ii is licensed to practice in California (license number G37773) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1023079803.

Contact Information

John T Wallace Ii, MD
205 South St,
Fort Bragg, CA 95437-5540
(707) 964-1251
(707) 961-2722

Map and Direction




Physician's Profile

Full NameJohn T Wallace Ii
GenderMale
SpecialityInternal Medicine
Location205 South St, Fort Bragg, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023079803
  • Provider Enumeration Date: 03/31/2006
  • Last Update Date: 12/22/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 2961419536
  • Enrollment ID: I20060307000864

Medical Identifiers

Medical identifiers for John T Wallace Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023079803NPI-NPPES
00G377730MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine G37773 (California)Primary

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. John T Wallace Ii allows following entities to bill medicare on his behalf.
Entity NameAretaeus Telemedicine Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548490261
PECOS PAC ID: 6002953635
Enrollment ID: O20091029000684

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. John T Wallace Ii 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
John T Wallace Ii, MD
205 South St,
Fort Bragg, CA 95437-5540

Ph: (707) 964-1251
John T Wallace Ii, MD
205 South St,
Fort Bragg, CA 95437-5540

Ph: (707) 964-1251

Reviews and Comments


Internal Medicine Doctors in Fort Bragg, CA

Dr. James William Swallow, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 721 River Drive, Suite A, Fort Bragg, CA 95437
Phone: 707-961-4631    Fax: 707-964-1192
Jason Kirkman, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 721 River Drive, Suite A, Fort Bragg, CA 95437
Phone: 707-961-4631    Fax: 707-964-1192
John Arthur Rochat, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 700 River Dr, Fort Bragg, CA 95437
Phone: 707-961-4922    Fax: 707-961-4900
Elizabeth Allan Khan,
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 721 River Drive, Suite A, Fort Bragg, CA 95437
Phone: 707-961-4631    Fax: 707-964-1192
Richard Sacks-wilner, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 721 River Drive, Suite A, Fort Bragg, CA 95437
Phone: 707-964-7241    

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.