Virginia L Wallace, MD | |
8901 W Lincoln Avenue, West Allis, WI 53227-2477 | |
(414) 328-7950 | |
(414) 328-8505 |
Full Name | Virginia L Wallace |
---|---|
Gender | Female |
Speciality | Pathology |
Experience | 31 Years |
Location | 8901 W Lincoln Avenue, West Allis, Wisconsin |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205861606 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 41111 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Aurora St Lukes Medical Center | Milwaukee, WI | Hospital |
Waukesha Memorial Hospital | Waukesha, WI | Hospital |
Aurora Baycare Medical Ctr | Green bay, WI | Hospital |
Aurora Medical Center Kenosha | Kenosha, WI | Hospital |
Aurora Lakeland Medical Center | Elkhorn, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Great Lakes Pathologists Sc | 7315850682 | 58 |
Entity Name | Great Lakes Pathologists Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689695934 PECOS PAC ID: 7315850682 Enrollment ID: O20031112000106 |
Mailing Address | Practice Location Address |
---|---|
Virginia L Wallace, MD 8901 W Lincoln Avenue, West Allis, WI 53227-2477 Ph: (414) 328-7950 | Virginia L Wallace, MD 8901 W Lincoln Avenue, West Allis, WI 53227-2477 Ph: (414) 328-7950 |
Dr. Shanon Renee Lacy, D.O. Pathology Medicare: Accepting Medicare Assignments Practice Location: 8901 W Lincoln Ave, West Allis, WI 53227 Phone: 414-328-7675 | |
Susan Pei, Pathology Medicare: Accepting Medicare Assignments Practice Location: 8901 W Lincoln Ave, West Allis, WI 53227 Phone: 414-328-7950 | |
Dr. Wen Zhong, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 8901 W Lincoln Ave, West Allis, WI 53227 Phone: 414-328-7984 | |
Dr. Amanda Meindl, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 8901 W Lincoln Ave, West Allis, WI 53227 Phone: 414-328-7950 Fax: 414-328-8505 | |
Dr. Saad Baqai, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 8901 W Lincoln Ave, West Allis, WI 53227 Phone: 414-328-7950 Fax: 414-328-8505 | |
Patrick W. Heintz, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 8901 West Lincoln Avenue, West Allis, WI 53227 Phone: 414-328-7950 Fax: 414-328-8505 |