Dr Elise F Wallace, MD - Medicare Obstetrics/gynecology in Rochester Hills, MI

Dr Elise F Wallace, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Rochester Hills, Michigan. She went to Wayne State University School Of Medicine and graduated in 2001 and has 23 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Oakland Macomb Obstetrics And Gynecology, P.c. and her current practice location is 1701 South Blvd E, Suite 200, Rochester Hills, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 997-5805.

Dr Elise F Wallace is licensed to practice in Michigan (license number 4301077878) 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 1538140835.

Contact Information

Dr Elise F Wallace, MD
1701 South Blvd E, Suite 200,
Rochester Hills, MI 48307-6122
(248) 997-5805
(248) 997-5811



Physician's Profile

Full NameDr Elise F Wallace
GenderFemale
SpecialityObstetrics/gynecology
Experience23 Years
Location1701 South Blvd E, Rochester 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:
  • Dr Elise F Wallace attended and graduated from Wayne State University School Of Medicine in 2001
  NPI Data:
  • NPI Number: 1538140835
  • Provider Enumeration Date: 11/14/2005
  • Last Update Date: 10/23/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6406887959
  • Enrollment ID: I20050825000077

Medical Identifiers

Medical identifiers for Dr Elise F Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538140835NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 4301077878 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Beaumont Hospital Royal OakRoyal oak, MIHospital
Beaumont Hospital, TroyTroy, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Oakland Macomb Obstetrics And Gynecology, P.c.418367301519

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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. Dr Elise F Wallace allows following entities to bill medicare on her behalf.
Entity NameOakland Macomb Obstetrics & Gynecology, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760424139
PECOS PAC ID: 4183673015
Enrollment ID: O20050119000049

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Entity NameBeaumont Medical Group Hospital Based Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427567858
PECOS PAC ID: 3072875889
Enrollment ID: O20180314001796

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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. Dr Elise F 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
Dr Elise F Wallace, MD
1701 South Blvd E, Suite 200,
Rochester Hills, MI 48307-6122

Ph: (248) 997-5805
Dr Elise F Wallace, MD
1701 South Blvd E, Suite 200,
Rochester Hills, MI 48307-6122

Ph: (248) 997-5805

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Obstetrics & Gynecology Doctors in Rochester Hills, MI

Kerry Melenovsky Lee, DO
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1701 South Blvd E Ste 200, Rochester Hills, MI 48307
Phone: 248-997-5805    Fax: 248-997-5811
Anupama Vansadia, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 6700 N Rochester Rd Ste 210, Rochester Hills, MI 48306
Phone: 248-650-1534    
Julie G Masters, D.O.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 3950 S Rochester Rd, Suite 1300, Rochester Hills, MI 48307
Phone: 248-659-1150    Fax: 248-659-1151
Dr. Patricia Lynn Goymerac, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1701 South Blvd E, Suite 200, Rochester Hills, MI 48307
Phone: 248-997-5805    Fax: 248-997-5811
Dr. Sapna Murthy, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 455 S Livernois Rd Ste A12, Rochester Hills, MI 48307
Phone: 248-710-3242    Fax: 248-710-3247
Dina Kassab, D.O.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 3950 S Rochester Rd Ste 1450, Rochester Hills, MI 48307
Phone: 248-378-0489    Fax: 248-844-4551
Dr. Brigitte Lorenz, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 441 S Livernois Rd, #175, Rochester Hills, MI 48307
Phone: 248-601-2688    Fax: 248-601-2689

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