Amy Wallace, DO - Medicare Emergency Medicine in Farmington Hills, MI

Amy Wallace, DO is a medicare enrolled "Emergency Medicine" physician in Farmington Hills, Michigan. She went to Michigan State University College Of Osteopathic Medicine and graduated in 2018 and has 6 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Farmington Emergency Medicine and her current practice location is 28050 Grand River Ave, Farmington Hills, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 471-8822.

Amy Wallace is licensed to practice in Michigan (license number 5101026825) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1134619463.

Contact Information

Amy Wallace, DO
28050 Grand River Ave,
Farmington Hills, MI 48336-5919
(248) 471-8822
Not Available



Physician's Profile

Full NameAmy Wallace
GenderFemale
SpecialityEmergency Medicine
Experience6 Years
Location28050 Grand River Ave, Farmington Hills, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Amy Wallace attended and graduated from Michigan State University College Of Osteopathic Medicine in 2018
  NPI Data:
  • NPI Number: 1134619463
  • Provider Enumeration Date: 05/11/2018
  • Last Update Date: 06/30/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7618232083
  • Enrollment ID: I20220510001702

Medical Identifiers

Medical identifiers for Amy Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134619463NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 1134619463 (Michigan)Secondary
207P00000XEmergency Medicine 5101026825 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Beaumont Hospital - Farmington HillsFarmington hills, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Farmington Emergency Medicine63057321404

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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. Amy Wallace allows following entities to bill medicare on her behalf.
Entity NameFarmington Emergency Medicine
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568496370
PECOS PAC ID: 6305732140
Enrollment ID: O20040302000665

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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. Amy 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
Amy Wallace, DO
660 Milford Farms Ct,
Milford, MI 48381-3351

Ph: () -
Amy Wallace, DO
28050 Grand River Ave,
Farmington Hills, MI 48336-5919

Ph: (248) 471-8822

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Emergency Medicine Doctors in Farmington Hills, MI

Christine Carline, DO
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336
Phone: 947-521-8000    
Diane L Kaiser, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 28050 Grand River Avenue, Farmington Hills, MI 48336
Phone: 248-471-8000    
Richard W Traicoff, DO
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 28050 Grand River Avenue, Er Department, Farmington Hills, MI 48336
Phone: 248-471-8000    
Dr. Santosh Dixit, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 28050 Grand River Ave, Medical Education, Farmington Hills, MI 48336
Phone: 248-471-8000    
Iven Thair Ayyar, DO
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336
Phone: 947-521-8822    
Dr. Harkamaljit Singh, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336
Phone: 947-521-8560    
Brandon Baroff, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336
Phone: 947-521-1320    

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