Kevin Peter Scott Wallace, MD in Menlo Park, CA

Kevin Peter Scott Wallace, MD is a medicare enrolled "Internal Medicine" physician in Menlo Park, California. He graduated from medical school in 1988 and has 36 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice University Healthcare Alliance and his current practice location is 1300 Crane St, Menlo Park, California. You can reach out to his office (for appointments etc.) via phone at (650) 498-6500.

Kevin Peter Scott Wallace is licensed to practice in California (license number C151609) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1255309258.

Contact Information

	Kevin Peter Scott Wallace, MD
	1300 Crane St, Menlo Park, CA 94025-4260
	(650) 498-6500
	Not Available

Map and Direction

Physician's Profile

Full Name	Kevin Peter Scott Wallace
Gender	Male
Speciality	Internal Medicine
Experience	36 Years
Location	1300 Crane St, Menlo Park, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kevin Peter Scott Wallace graduated from medical school in 1988

NPI Data:

NPI Number: 1255309258
Provider Enumeration Date: 03/08/2006
Last Update Date: 04/24/2024

Medicare PECOS Information:

PECOS PAC ID: 8123082708
Enrollment ID: I20171026000792

Medical Identifiers

Medical identifiers for Kevin Peter Scott Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255309258	NPI	-	NPPES
0000992201	Medicaid	DE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	C151609 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Stanford Health Care	Stanford, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Healthcare Alliance	6305748799	341

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. Kevin Peter Scott Wallace allows following entities to bill medicare on his behalf.

Entity Name	University Healthcare Alliance
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760531198 PECOS PAC ID: 6305748799 Enrollment ID: O20040126000292

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. Kevin Peter Scott 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
Kevin Peter Scott Wallace, MD 1300 Crane St, Menlo Park, CA 94025-4283 Ph: (650) 498-6649	Kevin Peter Scott Wallace, MD 1300 Crane St, Menlo Park, CA 94025-4260 Ph: (650) 498-6500

Reviews and Comments

Internal Medicine Doctors in Menlo Park, CA

Marc Joseph Gurwith, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1100 Alma St Ste 109, Menlo Park, CA 94025 Phone: 650-823-1548
Eliza Gaenger Bennitt, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 Crane St, Menlo Park, CA 94025 Phone: 650-498-6649
Helen M Pillsbury, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 401 Burgess Dr Ste B, 2nd Floor, Menlo Park, CA 94025 Phone: 650-325-9906 Fax: 650-325-1295
Victoria Y Chen, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 Crane St, Menlo Park, CA 94025 Phone: 650-498-6500
Dr. Eileen V. Moy, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 Crane St, Menlo Park, CA 94025 Phone: 650-498-6166
Ping Wang Fisher, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 Crane Street, Menlo Park, CA 94025 Phone: 650-498-6500
Dr. Harvey S Young, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1225 Crane St Ste 202, Menlo Park, CA 94025 Phone: 650-324-8881 Fax: 650-324-8088

Kevin Peter Scott Wallace, MD - Medicare Internal Medicine in Menlo Park, CA