Stephen Blake Wallace, MD | |
3055 Roslyn St Unit 200, Denver, CO 80238-3324 | |
(303) 724-7378 | |
Not Available |
Full Name | Stephen Blake Wallace |
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Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 9 Years |
Location | 3055 Roslyn St Unit 200, Denver, Colorado |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205222502 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207XX0004X | Orthopaedic Surgery - Foot And Ankle Surgery | DR.0063577 (Colorado) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Medical City Plano | Plano, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Texas Star Orthopedic Institute Llc | 7618392424 | 22 |
Entity Name | Posmc, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932551413 PECOS PAC ID: 3375822877 Enrollment ID: O20161123001700 |
Entity Name | Texas Star Orthopedic Institute Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184285116 PECOS PAC ID: 7618392424 Enrollment ID: O20200810002755 |
Mailing Address | Practice Location Address |
---|---|
Stephen Blake Wallace, MD 10361 E 28th Pl, Denver, CO 80238-3051 Ph: (225) 572-6083 | Stephen Blake Wallace, MD 3055 Roslyn St Unit 200, Denver, CO 80238-3324 Ph: (303) 724-7378 |
Dr. Andrew Volodymyr Pytiak, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 2055 N High St Ste 130, Denver, CO 80205 Phone: 303-861-2663 Fax: 303-861-4741 | |
Dr. Edward C Pino Ii, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2045 Franklin St, Denver, CO 80205 Phone: 303-338-4545 | |
Dr. Keenan Msami Onodera, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 777 Bannock St, Denver, CO 80204 Phone: 303-436-4949 Fax: 303-602-4560 | |
John D Douthit Sr., M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 850 E Harvard Ave, Suite 125, Denver, CO 80210 Phone: 303-722-0221 Fax: 303-722-0148 | |
Dr. Richard Won Kang, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2045 N Franklin St, Denver, CO 80205 Phone: 303-338-4545 | |
Dr. Gary W. Hess, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 8101 East Lowry Boulevard, Suite 260, Denver, CO 80230 Phone: 303-214-4500 Fax: 303-214-4571 | |
Richard Fisher, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 4701 E Ninth Ave, Denver, CO 80262 Phone: 303-493-7000 |