Dr Michelle Wallace, MD - Medicare Cardiovascular Disease (cardiology) in Stockbridge, GA

Dr Michelle Wallace, MD is a medicare enrolled "Pediatrics - Pediatric Cardiology" physician in Stockbridge, Georgia. She went to Morehouse School Of Medicine and graduated in 2004 and has 20 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). She is a member of the group practice Children's Healthcare Of Atlanta Cardiology Inc and her current practice location is 202 Village Center Pkwy, Stockbridge, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 256-2593.

Dr Michelle Wallace is licensed to practice in Georgia (license number 064090) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1316111719.

Contact Information

Dr Michelle Wallace, MD
202 Village Center Pkwy,
Stockbridge, GA 30281-9044
(404) 256-2593
Not Available



Physician's Profile

Full NameDr Michelle Wallace
GenderFemale
SpecialityCardiovascular Disease (cardiology)
Experience20 Years
Location202 Village Center Pkwy, Stockbridge, Georgia
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Michelle Wallace attended and graduated from Morehouse School Of Medicine in 2004
  NPI Data:
  • NPI Number: 1316111719
  • Provider Enumeration Date: 04/16/2008
  • Last Update Date: 01/25/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7517154123
  • Enrollment ID: I20101208001110

Medical Identifiers

Medical identifiers for Dr Michelle Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316111719NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0202XPediatrics - Pediatric Cardiology 064090 (Georgia)Primary
208000000XPediatrics 141727 (North Carolina)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Children's Healthcare Of Atlanta Cardiology Inc690188839518

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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 Michelle Wallace allows following entities to bill medicare on her behalf.
Entity NameChildren's Healthcare Of Atlanta Cardiology Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235148727
PECOS PAC ID: 6901888395
Enrollment ID: O20040601000805

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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 Michelle 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 Michelle Wallace, MD
2835 Brandywine Rd, Suite 300,
Atlanta, GA 30341-5540

Ph: () -
Dr Michelle Wallace, MD
202 Village Center Pkwy,
Stockbridge, GA 30281-9044

Ph: (404) 256-2593

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Pediatrics Doctors in Stockbridge, GA

Juan A Lama, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 150 Medical Blvd, Suite B, Stockbridge, GA 30281
Phone: 770-389-9944    Fax: 770-389-1973
Ronald Allen Ligon Jr., M.D.
Pediatrics
Medicare: May Accept Medicare Assignments
Practice Location: 202 Village Center Pkwy, Stockbridge, GA 30281
Phone: 404-256-2593    
Dr. Steven W Leard, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1101 Hospital Dr, Suite 210, Stockbridge, GA 30281
Phone: 678-289-0103    Fax: 678-289-0171
Dr. Matthew Edward Oster, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 202 Village Center Pkwy, Stockbridge, GA 30281
Phone: 404-256-2593    
Lankala Rajendra Reddy, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 150 Medical Blvd, Ste B, Stockbridge, GA 30281
Phone: 770-389-9944    Fax: 770-389-1973
Dr. Patrick Neal Pulliam, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 245 Country Club Dr Bldg 200a, Stockbridge, GA 30281
Phone: 770-389-4543    Fax: 770-474-0566
David W Jones, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1050 Eagles Landing Pkwy Ste 202, Stockbridge, GA 30281
Phone: 678-289-1988    Fax: 678-289-1512

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