Dr William W Wallace, MD - Medicare Allergy & Immunology in San Diego, CA

Dr William W Wallace, MD is a medicare enrolled "Allergy & Immunology - Allergy" physician in San Diego, California. His current practice location is 8933 Activity Rd, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (858) 653-6170.

Dr William W Wallace is licensed to practice in California (license number G17502) 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 1144331513.

Contact Information

Dr William W Wallace, MD
8933 Activity Rd,
San Diego, CA 92126-4427
(858) 653-6170
Not Available



Physician's Profile

Full NameDr William W Wallace
GenderMale
SpecialityAllergy & Immunology - Allergy
Location8933 Activity Rd, San Diego, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1144331513
  • Provider Enumeration Date: 08/31/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 6608175633
  • Enrollment ID: I20160426001597

Medical Identifiers

Medical identifiers for Dr William W Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144331513NPI-NPPES
00G175020MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207KA0200XAllergy & Immunology - Allergy G17502 (California)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 William W 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 William W Wallace, MD
8933 Activity Rd,
San Diego, CA 92126-4427

Ph: (858) 653-6170
Dr William W Wallace, MD
8933 Activity Rd,
San Diego, CA 92126-4427

Ph: (858) 653-6170

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Allergy & Immunology Doctors in San Diego, CA

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Phone: 800-926-8273    Fax: 888-539-8781

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