Lincoln R Wallace, MD | |
800 Kenyon Rd, Fort Dodge, IA 50501-5776 | |
(515) 574-6800 | |
Not Available |
Full Name | Lincoln R Wallace |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 29 Years |
Location | 800 Kenyon Rd, Fort Dodge, Iowa |
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 |
---|---|---|---|
1184696437 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 34646 (Iowa) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Unitypoint At Home | Fort dodge, IA | Home health agency |
Trinity Regional Medical Center | Fort dodge, IA | Hospital |
Humboldt County Memorial Hospital | Humboldt, IA | Hospital |
Fort Dodge Health And Rehabilitation | Fort dodge, IA | Nursing home |
Friendship Haven, Inc | Fort dodge, IA | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Trinity Regional Medical Center | 7315858529 | 123 |
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 |
Mailing Address | Practice Location Address |
---|---|
Lincoln R Wallace, MD 24 N 9th St, Suite A, Fort Dodge, IA 50501-3909 Ph: (515) 574-6890 | Lincoln R Wallace, MD 800 Kenyon Rd, Fort Dodge, IA 50501-5776 Ph: (515) 574-6800 |
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 | |
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 |