Thomas M Wallace, MD - Medicare Internal Medicine in Modesto, CA

Thomas M Wallace, MD is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Modesto, California. He went to University Of Southern California Keck School Of Medicine and graduated in 1979 and has 45 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Hospitalists Of Modesto Medical Group Inc and his current practice location is 1441 Florida Ave, Modesto, California. You can reach out to his office (for appointments etc.) via phone at (209) 576-3525.

Thomas M Wallace is licensed to practice in California (license number G42269) 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 1679641666.

Contact Information

Thomas M Wallace, MD
1441 Florida Ave,
Modesto, CA 95350-4405
(209) 576-3525
(209) 576-3544

Map and Direction




Physician's Profile

Full NameThomas M Wallace
GenderMale
SpecialityInternal Medicine
Experience45 Years
Location1441 Florida Ave, Modesto, California
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:
  • Thomas M Wallace attended and graduated from University Of Southern California Keck School Of Medicine in 1979
  NPI Data:
  • NPI Number: 1679641666
  • Provider Enumeration Date: 11/30/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 9638077191
  • Enrollment ID: I20090911000381

Medical Identifiers

Medical identifiers for Thomas M Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679641666NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0200XInternal Medicine - Critical Care Medicine G42269 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Emanuel Medical CenterTurlock, CAHospital
Doctors Medical CenterModesto, CAHospital
Mercy Medical CenterMerced, CAHospital
Adventist Health SonoraSonora, CAHospital
John C Fremont Healthcare DistrictMariposa, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hospitalists Of Modesto Medical Group Inc256736002739

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. Thomas M Wallace allows following entities to bill medicare on his behalf.
Entity NameHospitalists Of Modesto Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821190711
PECOS PAC ID: 2567360027
Enrollment ID: O20031222000781
Entity NameFirst Choice Physician Partners
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104183052
PECOS PAC ID: 0941465322
Enrollment ID: O20120710000480

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. Thomas M 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
Thomas M Wallace, MD
1441 Florida Ave,
Modesto, CA 95350-4405

Ph: (209) 576-3525
Thomas M Wallace, MD
1441 Florida Ave,
Modesto, CA 95350-4405

Ph: (209) 576-3525

Reviews and Comments


Internal Medicine Doctors in Modesto, CA

Brian E. Dolnick, DO
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Alvin K Eng, MD
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Phone: 209-577-5557    Fax: 209-577-8125
Esra Olgun, MD
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Ronak Chandrakant Shah, M.D.
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Dr. Paul Golden, M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 1330 Nelson Ave, Suite C, Modesto, CA 95350
Phone: 209-576-1547    Fax: 209-576-2736

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.