Stephen J Wallace, MD in Lake Oswego, OR - Medicare Orthopedic Surgery

Stephen J Wallace, MD is a medicare enrolled "Orthopaedic Surgery - Foot And Ankle Surgery" physician in Lake Oswego, Oregon. He went to Baylor College Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Orthopedic Surgery. His current practice location is 4103 Mercantile Dr, Lake Oswego, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 850-9940.

Stephen J Wallace is licensed to practice in Oregon (license number MD206048) 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 1396162673.

Contact Information

	Stephen J Wallace, MD
	4103 Mercantile Dr, Lake Oswego, OR 97035-2556
	(503) 850-9940
	(503) 850-6709

Map and Direction

Physician's Profile

Full Name	Stephen J Wallace
Gender	Male
Speciality	Orthopedic Surgery
Experience	10 Years
Location	4103 Mercantile Dr, Lake Oswego, Oregon
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:

Stephen J Wallace attended and graduated from Baylor College Of Medicine in 2014

NPI Data:

NPI Number: 1396162673
Provider Enumeration Date: 03/24/2014
Last Update Date: 10/24/2021

Medicare PECOS Information:

PECOS PAC ID: 9931402864
Enrollment ID: I20211122002255

Medical Identifiers

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

Identifier	Type	State	Issuer
1396162673	NPI	-	NPPES
1396162673	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207X00000X	Orthopaedic Surgery	MD60932486 (Washington)	Secondary
207XX0801X	Orthopaedic Surgery - Orthopaedic Trauma	MD60932486 (Washington)	Secondary
207XX0004X	Orthopaedic Surgery - Foot And Ankle Surgery	MD206048 (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Legacy Emanuel Medical Center	Portland, OR	Hospital

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. Stephen J Wallace allows following entities to bill medicare on his behalf.

Entity Name	Stephen J Wallace Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063176352 PECOS PAC ID: 1759770274 Enrollment ID: O20211122002203

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. Stephen J 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
Stephen J Wallace, MD 4103 Mercantile Dr, Lake Oswego, OR 97035-2556 Ph: (503) 850-9940	Stephen J Wallace, MD 4103 Mercantile Dr, Lake Oswego, OR 97035-2556 Ph: (503) 850-9940

Reviews and Comments

Orthopaedic Surgery Doctors in Lake Oswego, OR

Stephen Fuller, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 16001 Quarry Rd, Lake Oswego, OR 97035 Phone: 503-635-1055
Ms. Marilyn Louise Yodlowski, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 16001 Quarry Rd, Lake Oswego, OR 97035 Phone: 503-635-1604 Fax: 503-635-6659
Dr. Michael Raymond Marble, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 5226 Dawn Ave, Lake Oswego, OR 97035 Phone: 503-620-2933 Fax: 503-620-8652
Dr. Corey J Vande Zandschulp, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4103 Mercantile Dr, Lake Oswego, OR 97035 Phone: 503-850-9940 Fax: 503-850-6709
Dr. Amer J Mirza, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4103 Mercantile Dr, Lake Oswego, OR 97035 Phone: 503-850-9940 Fax: 503-850-6709
Mr. Wayne Kaesche, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 16001 Quarry Rd, Lake Oswego, OR 97035 Phone: 503-635-1604 Fax: 503-635-6659

Stephen J Wallace, MD - Medicare Orthopedic Surgery in Lake Oswego, OR