Jamie Russelle Wallace, MD - Pediatrics in Scottsdale, AZ

Jamie Russelle Wallace, MD is a Pediatrics physician based in Scottsdale, Arizona. Jamie Russelle Wallace is licensed to practice in Arizona (license number 12810) and her current practice location is 10752 N 89th Pl, #126, Scottsdale, Arizona. She can be reached at her office (for appointments etc.) via phone at (480) 860-1161.

NPI number for Jamie Russelle Wallace is 1023066354 and her current mailing address is 10752 N 89th Pl, #126, Scottsdale, Arizona. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023066354.

Contact Information

Jamie Russelle Wallace, MD
10752 N 89th Pl, #126,
Scottsdale, AZ 85260
(480) 860-1161
(480) 860-6561



Physician's Profile

Full NameJamie Russelle Wallace
GenderFemale
SpecialityPediatrics
Location10752 N 89th Pl, Scottsdale, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1023066354
  • Provider Enumeration Date: 05/05/2006
  • Last Update Date: 07/21/2022

Medical Identifiers

Medical identifiers for Jamie Russelle Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023066354NPI-NPPES
226143-001MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 12810 (Arizona)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. Jamie Russelle 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
Jamie Russelle Wallace, MD
10752 N 89th Pl, #126,
Scottsdale, AZ 85260

Ph: (480) 860-1161
Jamie Russelle Wallace, MD
10752 N 89th Pl, #126,
Scottsdale, AZ 85260

Ph: (480) 860-1161

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› Verified 5 days ago


Pediatrics Doctors in Scottsdale, AZ

Matthew Barcellona, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 10200 N 92nd St Ste 150, Scottsdale, AZ 85258
Phone: 480-551-5064    Fax: 480-860-8498
Dr. Sherry Patricia Pottgen, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 21807 N Scottsdale Rd, Scottsdale, AZ 85255
Phone: 480-425-8488    Fax: 480-425-8498
Nirav Patel, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 20201 N Scottsdale Healthcare Dr, Ste 260, Scottsdale, AZ 85255
Phone: 480-398-1550    Fax: 480-398-1551
Tierra Schulz, PNP-PC
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 9827 N 95th St Ste 105, Scottsdale, AZ 85258
Phone: 253-224-8314    
Dr. Katherine Lichtsinn, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 7555 E Osborn Rd, Suite 106, Scottsdale, AZ 85251
Phone: 480-609-8100    Fax: 480-922-7551
John A Pope, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 9003 E Shea Blvd, Scottsdale, AZ 85260
Phone: 480-323-3644    Fax: 480-323-3510

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