John A Wallace, DPM is a medicare enrolled "Podiatrist - Primary Podiatric Medicine" provider in Merchantville, New Jersey. He went to California School Of Podiatric Medicine and graduated in 1983 and has 41 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Frank J Tursi D P M and his current practice location is
702 W Maple Ave, Merchantville, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(856) 665-1180.
John A Wallace is licensed to practice in New Jersey (license number MD00151900) 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 1861426462.
Healthcare Provider's Profile
| Full Name | John A Wallace |
|---|
| Gender | Male |
|---|
| Speciality | Podiatry |
|---|
| Experience | 41 Years |
|---|
| Location | 702 W Maple Ave, Merchantville, New Jersey |
|---|
| 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:
- John A Wallace attended and graduated from California School Of Podiatric Medicine in 1983
NPI Data:
- NPI Number: 1861426462
- Provider Enumeration Date: 07/10/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 4789577453
- Enrollment ID: I20040907000531
Medical Identifiers
Medical identifiers for John A Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861426462 | NPI | - | NPPES |
| 6574009 | Medicaid | NJ | |
| 0425672000 | Other | NJ | AMERIHEALTH |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213EP1101X | Podiatrist - Primary Podiatric Medicine | MD00151900 (New Jersey) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Frank J Tursi D P M | 4183686017 | 6 |
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. John A Wallace allows following entities to bill medicare on his behalf.
| Provider Name | Assoc. Of Maple Podiatry, Pa |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1972540854
PECOS PAC ID: 1254307721
Enrollment ID: O20040907000432 |
|---|
| Provider Name | Frank J Tursi D P M |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1538228960
PECOS PAC ID: 4183686017
Enrollment ID: O20041102000684 |
|---|
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. John A 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 |
|---|
John A Wallace, DPM
702 W Maple Ave,
Merchantville, NJ 08109-1822
Ph: (856) 665-1180 | John A Wallace, DPM
702 W Maple Ave,
Merchantville, NJ 08109-1822
Ph: (856) 665-1180 |
Reviews and Comments