Thomas M Wallace, MD | |
1441 Florida Ave, Modesto, CA 95350-4405 | |
(209) 576-3525 | |
(209) 576-3544 |
Full Name | Thomas M Wallace |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 45 Years |
Location | 1441 Florida Ave, Modesto, California |
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 |
---|---|---|---|
1679641666 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0200X | Internal Medicine - Critical Care Medicine | G42269 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Emanuel Medical Center | Turlock, CA | Hospital |
Doctors Medical Center | Modesto, CA | Hospital |
Mercy Medical Center | Merced, CA | Hospital |
Adventist Health Sonora | Sonora, CA | Hospital |
John C Fremont Healthcare District | Mariposa, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hospitalists Of Modesto Medical Group Inc | 2567360027 | 39 |
Entity Name | Hospitalists Of Modesto Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821190711 PECOS PAC ID: 2567360027 Enrollment ID: O20031222000781 |
Entity Name | First Choice Physician Partners |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104183052 PECOS PAC ID: 0941465322 Enrollment ID: O20120710000480 |
Mailing Address | Practice 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 |
Brian E. Dolnick, DO Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 4601 Dale Rd, Modesto, CA 95356 Phone: 209-557-1000 | |
Dr. Joshua Mckee Anderson, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 4601 Dale Rd, Modesto, CA 95356 Phone: 209-735-7200 | |
Sulman Razzaq, Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 1409 E Briggsmore Ave, Modesto, CA 95355 Phone: 209-550-4750 | |
Alvin K Eng, MD Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 1540 Florida Ave, # 100, Modesto, CA 95350 Phone: 209-577-5557 Fax: 209-577-8125 | |
Esra Olgun, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-521-6097 | |
Ronak Chandrakant Shah, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-521-6097 | |
Dr. Paul Golden, M.D. Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 1330 Nelson Ave, Suite C, Modesto, CA 95350 Phone: 209-576-1547 Fax: 209-576-2736 |