Dr Mary Anderson Wallace, MD | |
1400 E Boulder St, Colorado Springs, CO 80909-5533 | |
(303) 338-4545 | |
Not Available |
Full Name | Dr Mary Anderson Wallace |
---|---|
Gender | Female |
Speciality | Hospitalist |
Experience | 16 Years |
Location | 1400 E Boulder St, Colorado Springs, Colorado |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215109228 | NPI | - | NPPES |
029236 | Other | CO | KAISER COMMERCIAL NUMBER |
94831076 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 49780 (Colorado) | Secondary |
208M00000X | Hospitalist | DR.0049780 (Colorado) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Uch-memorial Health System | Colorado springs, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Colorado Permanente Medical Group Pc | 1254238454 | 1156 |
Entity Name | Colorado Permanente Medical Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760599724 PECOS PAC ID: 1254238454 Enrollment ID: O20031216000640 |
Mailing Address | Practice Location Address |
---|---|
Dr Mary Anderson Wallace, MD 10350 E Dakota Ave, Denver, CO 80247-1314 Ph: () - | Dr Mary Anderson Wallace, MD 1400 E Boulder St, Colorado Springs, CO 80909-5533 Ph: (303) 338-4545 |
Adam Christopher Danley, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 2222 N Nevada Ave, Colorado Springs, CO 80907 Phone: 719-776-8040 Fax: 719-776-8050 | |
Alexander Mark Hoelscher, DO Hospitalist Medicare: Medicare Enrolled Practice Location: 7435 Sisters Grv Ste 400, Colorado Springs, CO 80923 Phone: 719-571-8030 Fax: 719-571-8031 | |
Dr. George N Reinhardt, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2222 N Nevada Ave, Colorado Springs, CO 80907 Phone: 719-776-8040 Fax: 719-776-8050 | |
Rachel Oliver, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4090 Briargate Pkwy, Colorado Springs, CO 80920 Phone: 720-777-5211 | |
Dr. Stephanie Walker Harabaglia, D.O., M.S. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1725 E Boulder St Ste 204, Colorado Springs, CO 80909 Phone: 719-471-1069 Fax: 719-577-4828 | |
Paul Edward Riuli, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2222 N Nevada Ave, Colorado Springs, CO 80907 Phone: 719-776-8040 Fax: 719-776-8050 | |
Daniel L Ward, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3355 Cathedral Spires Dr, Colorado Springs, CO 80904 Phone: 719-502-7040 Fax: 719-685-9557 |