Neil Wallace, MD in Tucson, AZ - Medicare Emergency Medicine

Neil Wallace, MD is a medicare enrolled "Emergency Medicine" physician in Tucson, Arizona. His current practice location is 1625 N Campbell Ave, Tucson, Arizona. You can reach out to his office (for appointments etc.) via phone at (520) 626-7233.

Neil Wallace is licensed to practice in Arizona (license number 67949) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1972123768.

Contact Information

	Neil Wallace, MD
	1625 N Campbell Ave, Tucson, AZ 85719-4330
	(520) 626-7233
	Not Available

Map and Direction

Physician's Profile

Full Name	Neil Wallace
Gender	Male
Speciality	Emergency Medicine
Location	1625 N Campbell Ave, Tucson, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972123768
Provider Enumeration Date: 04/21/2020
Last Update Date: 06/12/2023

Medicare PECOS Information:

PECOS PAC ID: 7315360229
Enrollment ID: I20230524002952

Medical Identifiers

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

Identifier	Type	State	Issuer
1972123768	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	67949 (Arizona)	Primary

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. Neil Wallace allows following entities to bill medicare on his behalf.

Entity Name	Banner -- University Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508809427 PECOS PAC ID: 7719899871 Enrollment ID: O20031105000694

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. Neil 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
Neil Wallace, MD 5489 N Quiet Dream Ave, Tucson, AZ 85741-3831 Ph: (505) 270-4178	Neil Wallace, MD 1625 N Campbell Ave, Tucson, AZ 85719-4330 Ph: (520) 626-7233

Reviews and Comments

Emergency Medicine Doctors in Tucson, AZ

Martin Demant, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1501 N Campbell Ave, Tucson, AZ 85724 Phone: 520-626-6507 Fax: 520-626-5675
John Guisto, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1501 N Campbell Ave, Tucson, AZ 85724 Phone: 520-874-3500
Dr. Christopher Scott Florence, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 5301 E Grant Road, Tucson Medical Center Emergency Department, Tucson, AZ 85712 Phone: 520-324-1922 Fax: 520-324-1088
Dr. Jose Carbajal, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 350 N Wilmot Rd, Tucson, AZ 85711 Phone: 520-873-5429
Dr. Ajit Itty, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1609 N Warren Ave Rm 118, Tucson, AZ 85724 Phone: 520-626-6312
Philipp Lorenz Hannan, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3950 S Country Club Rd, Tucson, AZ 85714 Phone: 520-626-5582
Dr. Alina Nguyen, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1625 N Campbell Ave, Tucson, AZ 85719 Phone: 520-694-8888

Neil Wallace, MD - Medicare Emergency Medicine in Tucson, AZ