Kelli P Wallace, MD in Fort Dodge, IA - Medicare Family Practice

Kelli P Wallace, MD is a medicare enrolled "Family Medicine" physician in Fort Dodge, Iowa. She went to University Of Iowa, Rj & L Carver College Of Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Trinity Regional Medical Center and her current practice location is 800 Kenyon Rd, Fort Dodge, Iowa. You can reach out to her office (for appointments etc.) via phone at (515) 574-6800.

Kelli P Wallace is licensed to practice in Iowa (license number 33478) 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 1518939867.

Contact Information

	Kelli P Wallace, MD
	800 Kenyon Rd, Fort Dodge, IA 50501-5776
	(515) 574-6800
	Not Available

Map and Direction

Physician's Profile

Full Name	Kelli P Wallace
Gender	Female
Speciality	Family Practice
Experience	29 Years
Location	800 Kenyon Rd, Fort Dodge, Iowa
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelli P Wallace attended and graduated from University Of Iowa, Rj & L Carver College Of Medicine in 1995

NPI Data:

NPI Number: 1518939867
Provider Enumeration Date: 02/02/2006
Last Update Date: 12/22/2016

Medicare PECOS Information:

PECOS PAC ID: 3072665884
Enrollment ID: I20100225000098

Medical Identifiers

Medical identifiers for Kelli P Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518939867	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	33478 (Iowa)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Trinity Regional Medical Center	7315858529	123

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. Kelli P Wallace allows following entities to bill medicare on her behalf.

Entity Name	Trinity Regional Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073594156 PECOS PAC ID: 7315858529 Enrollment ID: O20031204000921

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. Kelli P 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
Kelli P Wallace, MD 24 N 9th St, Suite A, Fort Dodge, IA 50501-3909 Ph: (515) 574-6890	Kelli P Wallace, MD 800 Kenyon Rd, Fort Dodge, IA 50501-5776 Ph: (515) 574-6800

Reviews and Comments

Family Medicine Doctors in Fort Dodge, IA

Randall K Minion, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 211 Avenue M W, Fort Dodge, IA 50501 Phone: 515-576-7261
Gary L Levalley, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 800 Kenyon Rd, Fort Dodge, IA 50501 Phone: 515-573-4141
Joel Edward Loveless, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 802 Kenyon Rd, Emergency Room, Fort Dodge, IA 50501 Phone: 515-574-6684
Lincoln R Wallace, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Kenyon Rd, Fort Dodge, IA 50501 Phone: 515-574-6800
Aaron L Peimann, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Kenyon Rd, Fort Dodge, IA 50501 Phone: 515-574-6800
Michael W Stitt, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1428 2nd Ave N, Fort Dodge, IA 50501 Phone: 515-574-6110
Alan P Nguyen, DO Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 119 Avenue O W, Fort Dodge, IA 50501 Phone: 515-955-9200 Fax: 515-955-9201

Kelli P Wallace, MD - Medicare Family Practice in Fort Dodge, IA