Shannon Leigh Wallace, MD in Cleveland, OH - Medicare Obstetrics/gynecology

Shannon Leigh Wallace, MD is a medicare enrolled "Obstetrics & Gynecology - Female Pelvic Medicine And Reconstructive Surgery" physician in Cleveland, Ohio. She went to University Of Colorado School Of Medicine, Aurora and graduated in 2012 and has 12 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Cleveland Clinic Foundation and her current practice location is Cleveland Clinic 9500 Euclid Avenue, Cleveland, Ohio. You can reach out to her office (for appointments etc.) via phone at (216) 636-8926.

Shannon Leigh Wallace is licensed to practice in California (license number A149644) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1205102092.

Contact Information

	Shannon Leigh Wallace, MD
	Cleveland Clinic 9500 Euclid Avenue, Cleveland, OH 44195-1705
	(216) 636-8926
	Not Available

Map and Direction

Physician's Profile

Full Name	Shannon Leigh Wallace
Gender	Female
Speciality	Obstetrics/gynecology
Experience	12 Years
Location	Cleveland Clinic 9500 Euclid Avenue, Cleveland, Ohio
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Shannon Leigh Wallace attended and graduated from University Of Colorado School Of Medicine, Aurora in 2012

NPI Data:

NPI Number: 1205102092
Provider Enumeration Date: 03/27/2012
Last Update Date: 03/10/2020

Medicare PECOS Information:

PECOS PAC ID: 1557655396
Enrollment ID: I20200930003182

Medical Identifiers

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

Identifier	Type	State	Issuer
1205102092	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207VF0040X	Obstetrics & Gynecology - Female Pelvic Medicine And Reconstructive Surgery	A149644 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Cleveland Clinic	Cleveland, OH	Hospital
Hillcrest Hospital	Mayfield heights, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Cleveland Clinic Foundation	1850203555	5680

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. Shannon Leigh Wallace allows following entities to bill medicare on her behalf.

Entity Name	The Cleveland Clinic Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679525919 PECOS PAC ID: 1850203555 Enrollment ID: O20031103000049

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. Shannon Leigh 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
Shannon Leigh Wallace, MD 1470 Franks Ln, Menlo Park, CA 94025-5960 Ph: (303) 880-7809	Shannon Leigh Wallace, MD Cleveland Clinic 9500 Euclid Avenue, Cleveland, OH 44195-1705 Ph: (216) 636-8926

Reviews and Comments

Obstetrics & Gynecology Doctors in Cleveland, OH

Jennifer A Velotta, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 11100 Euclid Ave, Cleveland, OH 44106 Phone: 216-844-1000
Sharon A Sutherland, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 800-223-2273
Philip C Brzozowski, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave Fl 8, Cleveland, OH 44195 Phone: 800-223-2273
Dr. Lulu X Zhao, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 11100 Euclid Ave, Cleveland, OH 44106 Phone: 216-844-3921
Dr. Emily Hamburg-shields, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2500 Metrohealth Dr, Cleveland, OH 44109 Phone: 216-778-7800
Erica Bishop, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 800-223-2273
Maureen M Suster, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2500 Metrohealth Dr, Cleveland, OH 44109 Phone: 216-778-7731 Fax: 216-778-8462

Shannon Leigh Wallace, MD - Medicare Obstetrics/gynecology in Cleveland, OH