Kimberly Wallace, - Medicare Obstetrics/gynecology in West Bloomfield, MI

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Kimberly Wallace, is a medicare enrolled "Obstetrics & Gynecology" physician in West Bloomfield, Michigan. She went to University Of Michigan Medical School and graduated in 2002 and has 22 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Henry Ford Medical Group and her current practice location is 6777 W Maple Rd, West Bloomfield, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 661-6425.

Kimberly Wallace is licensed to practice in Michigan (license number 4301084456) 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 1750327045.

Contact Information

Kimberly Wallace,
6777 W Maple Rd,
West Bloomfield, MI 48322-3013
(248) 661-6425
(248) 325-0094

Map and Direction




Physician's Profile

Full NameKimberly Wallace
GenderFemale
SpecialityObstetrics/gynecology
Experience22 Years
Location6777 W Maple Rd, West Bloomfield, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kimberly Wallace attended and graduated from University Of Michigan Medical School in 2002
  NPI Data:
  • NPI Number: 1750327045
  • Provider Enumeration Date: 06/22/2006
  • Last Update Date: 11/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9537168976
  • Enrollment ID: I20061212000221

Medical Identifiers

Medical identifiers for Kimberly Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750327045NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 4301084456 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Henry Ford HospitalDetroit, MIHospital
Henry Ford West Bloomfield HospitalWest bloomfield, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Henry Ford Medical Group05471783112124

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. Kimberly Wallace allows following entities to bill medicare on her behalf.
Entity NameHenry Ford Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790856235
PECOS PAC ID: 0547178311
Enrollment ID: O20031111000061
Entity NameAscension Medical Group Promed
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497709869
PECOS PAC ID: 7315856077
Enrollment ID: O20031216000478
Entity NameMymichigan Medical Center Alma
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265596126
PECOS PAC ID: 3375451404
Enrollment ID: O20040202000975
Entity NameMymichigan Medical Center Midland
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205889490
PECOS PAC ID: 2264323633
Enrollment ID: O20040324000137
Entity NameDetroit Community Health Connection, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982611562
PECOS PAC ID: 9234021148
Enrollment ID: O20040326000067
Entity NameVhs Physicians Of Michigan
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073827101
PECOS PAC ID: 8921289760
Enrollment ID: O20110225000849
Entity NameMymichigan Medical Center West Branch
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538566765
PECOS PAC ID: 7214251081
Enrollment ID: O20160714002424
Entity NameKimberly Wallace Md Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497397202
PECOS PAC ID: 5890129845
Enrollment ID: O20191227000452

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. Kimberly 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 AddressPractice Location Address
Kimberly Wallace,
6777 W Maple Rd,
West Bloomfield, MI 48322-3013

Ph: (248) 661-6425		Kimberly Wallace,
6777 W Maple Rd,
West Bloomfield, MI 48322-3013

Ph: (248) 661-6425

Reviews and Comments


Obstetrics & Gynecology Doctors in West Bloomfield, MI

Dr. Rachel Mary O'keefe, D.O.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 2300 Haggerty Rd, Suite 2070, West Bloomfield, MI 48323
Phone: 248-926-2020    Fax: 248-926-9020
Dr. Deborah A Charfoos, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 6900 Orchard Lake Rd, Ste 306, West Bloomfield, MI 48322
Phone: 248-855-6663    Fax: 248-855-7546
Robert Lorenz,
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 3226 Wellington Ct, West Bloomfield, MI 48324
Phone: 248-417-1946    
Dr. Michael Charles Kent, D.O.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 2485 Doleman Dr, West Bloomfield, MI 48324
Phone: 248-681-6550    
Robert S. Goldfarb, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: Henry Ford Health System, 6777 West Maple Road, West Bloomfield, MI 48323
Phone: 248-661-6450    Fax: 248-661-6649
Kwabena Appiah, M.D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: Henry Ford Health System, 6777 West Maple Road, West Bloomfield, MI 48323
Phone: 248-661-6450    Fax: 248-661-6649
Dr. Shalom Mazaki-tovi, M.D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 5858 Fineway Ct, West Bloomfield, MI 48322
Phone: 248-419-0885    

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).

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