Paul Wallace, MD - Medicare Internal Medicine in Philadelphia, PA

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Paul Wallace, MD is a medicare enrolled "Internal Medicine" physician in Philadelphia, Pennsylvania. He went to University Of California, San Francisco School Of Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as Internal Medicine. His current practice location is 7806 Cresheim Rd, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 930-6630.

Paul Wallace is licensed to practice in Pennsylvania (license number MD458894) 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 1639287212.

Contact Information

Paul Wallace, MD
7806 Cresheim Rd,
Philadelphia, PA 19118-4003
(215) 930-6630
(866) 404-2729

Map and Direction




Physician's Profile

Full NamePaul Wallace
GenderMale
SpecialityInternal Medicine
Experience27 Years
Location7806 Cresheim Rd, Philadelphia, Pennsylvania
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Paul Wallace attended and graduated from University Of California, San Francisco School Of Medicine in 1997
  NPI Data:
  • NPI Number: 1639287212
  • Provider Enumeration Date: 08/25/2006
  • Last Update Date: 08/23/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7810883667
  • Enrollment ID: I20160831001814

Medical Identifiers

Medical identifiers for Paul Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639287212NPI-NPPES
00A688900MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MD458894 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Continuous Home Care IncHavertown, PAHome health agency
Keystone Care, LlcWyndmoor, PAHome health agency
Keystone HospiceWyndmoor, PAHospice

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. Paul Wallace allows following entities to bill medicare on his behalf.
Entity NameFornance Physician Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053363523
PECOS PAC ID: 8527962661
Enrollment ID: O20040216000037
Entity NameHr Physician Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881696698
PECOS PAC ID: 0042109902
Enrollment ID: O20040311000028
Entity NameCogent Healthcare Of Pennsylvania, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831126176
PECOS PAC ID: 5991702318
Enrollment ID: O20061027000289
Entity NameHospitalist Medicine Physicians Of Pennsylvania Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639464308
PECOS PAC ID: 9234309840
Enrollment ID: O20110908001888
Entity NameUniversity Of Penn-medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053447151
PECOS PAC ID: 6204730955
Enrollment ID: O20150304001436
Entity NameGateway Mobile Medical, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790181873
PECOS PAC ID: 1254641517
Enrollment ID: O20160112000217
Entity NameCogent Healthcare Of New Jersey Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629304290
PECOS PAC ID: 6608918867
Enrollment ID: O20190815001600
Entity NameInsight Home Physicians, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215564521
PECOS PAC ID: 9830502475
Enrollment ID: O20201229000095

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. Paul 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
Paul Wallace, MD
801 Joe Mann Blvd Ste P-6,
Midland, MI 48642-8900

Ph: (989) 791-2455		Paul Wallace, MD
7806 Cresheim Rd,
Philadelphia, PA 19118-4003

Ph: (215) 930-6630

Reviews and Comments


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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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.