Dr John R Wallace, DC in Muskegon, MI - Medicare Chiropractor Provider

Dr John R Wallace, DC is a medicare enrolled "Chiropractor" provider in Muskegon, Michigan. His current practice location is 994 W Broadway Ave, Muskegon, Michigan. You can reach out to his office (for appointments etc.) via phone at (231) 755-3333.

Dr John R Wallace is licensed to practice in Michigan (license number JW004751) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1205835154.

Contact Information

	Dr John R Wallace, DC
	994 W Broadway Ave, Muskegon, MI 49441-3522
	(231) 755-3333
	(231) 755-5891

Healthcare Provider's Profile

Full Name	Dr John R Wallace
Gender	Male
Speciality	Chiropractor
Location	994 W Broadway Ave, Muskegon, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205835154
Provider Enumeration Date: 07/21/2005
Last Update Date: 11/29/2011

Medicare PECOS Information:

PECOS PAC ID: 8921019233
Enrollment ID: I20060531000038

Medical Identifiers

Medical identifiers for Dr John R Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205835154	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	JW004751 (Michigan)	Primary

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. Dr John R 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
Dr John R Wallace, DC 994 W Broadway Ave, Muskegon, MI 49441-3522 Ph: (231) 755-3333	Dr John R Wallace, DC 994 W Broadway Ave, Muskegon, MI 49441-3522 Ph: (231) 755-3333

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Chiropractor in Muskegon, MI

Douglas L Frarey, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3142 Glade St, Muskegon, MI 49444 Phone: 231-739-8752
Dr. Henry Allan Mell, D.C Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1159 E Laketon Ave, Muskegon, MI 49442 Phone: 231-726-6355 Fax: 231-725-8300
Wallace Chiropractic Center Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 994 W Broadway Ave, Muskegon, MI 49441 Phone: 231-755-3333 Fax: 231-755-5891
Lakewinds Chiropractic Center Plc Chiropractor Medicare: Medicare Enrolled Practice Location: 1877 N Getty St, Muskegon, MI 49445 Phone: 231-744-5200 Fax: 231-744-9484
Fantastic Health Chiropractic, Pllc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 947 W Broadway Ave, Muskegon, MI 49441 Phone: 231-755-5400 Fax: 231-755-5418
Addison Lohman, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1877 N Getty St, Muskegon, MI 49445 Phone: 231-744-5200 Fax: 231-744-9484
Dr H Allan Mell Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1159 E Laketon Ave, None, Muskegon, MI 49442 Phone: 231-726-6355 Fax: 231-725-8300

Dr John R Wallace, DC - Medicare Chiropractor in Muskegon, MI