Emmett Lee Wallace, DO - Family Medicine in Bettendorf, IA

Emmett Lee Wallace, DO is a Family Medicine physician based in Bettendorf, Iowa. Emmett Lee Wallace is licensed to practice in Iowa (license number 01133) and his current practice location is 1019 Broadlawn Avenue, Bettendorf, Iowa. He can be reached at his office (for appointments etc.) via phone at (563) 359-1181.

NPI number for Emmett Lee Wallace is 1215992334 and his current mailing address is 1019 Broadlawn Avenue, Bettendorf, Iowa. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1215992334.

Contact Information

Emmett Lee Wallace, DO
1019 Broadlawn Avenue,
Bettendorf, IA 52722
(563) 359-1181
(563) 386-3177



Physician's Profile

Full NameEmmett Lee Wallace
GenderMale
SpecialityFamily Medicine
Location1019 Broadlawn Avenue, Bettendorf, Iowa
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1215992334
  • Provider Enumeration Date: 04/20/2006
  • Last Update Date: 07/22/2011

Medical Identifiers

Medical identifiers for Emmett Lee Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215992334NPI-NPPES
0047902MedicaidIA
0158642OtherBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 01133 (Iowa)Primary
207Q00000XFamily Medicine 27754 (Missouri)Secondary
207Q00000XFamily Medicine 03652892 (Illinois)Secondary

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. Emmett Lee Wallace is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Emmett Lee Wallace, DO
1019 Broadlawn Avenue,
Bettendorf, IA 52722

Ph: (563) 359-1181
Emmett Lee Wallace, DO
1019 Broadlawn Avenue,
Bettendorf, IA 52722

Ph: (563) 359-1181

News Archive

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Researchers identify compounds that could help study the toxicological properties of fire ant venom

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› Verified 9 days ago


Family Medicine Doctors in Bettendorf, IA

Dr. Jasmin R Cabrera, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3740 Utica Ridge Rd, Suite B, Bettendorf, IA 52722
Phone: 563-344-7400    Fax: 563-359-9395
Dr. Daniel J Arnold, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4480 Utica Ridge Rd Ste 160, Bettendorf, IA 52722
Phone: 563-742-4850    Fax: 563-742-4855
Dr. Michael J Gimbel Ii, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 4017 Devils Glen Rd, Ste 100, Bettendorf, IA 52722
Phone: 563-332-6387    Fax: 563-332-9197
Dr. Mary Ann Defrance, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2140 53rd Ave, Bettendorf, IA 52722
Phone: 563-421-5700    
Christopher M Crome, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2140 53rd Ave, Bettendorf, IA 52722
Phone: 563-421-5700    Fax: 563-421-5839
Sara Glassgow, D.O.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 2730 Crow Creek Rd, Bettendorf, IA 52722
Phone: 954-399-4673    Fax: 815-454-2832

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