James John Wallace, DO - Medicare Family Medicine in Fond Du Lac, WI

James John Wallace, DO is a medicare enrolled "Family Medicine" physician in Fond Du Lac, Wisconsin. His current practice location is 145 N. Main St, Fond Du Lac, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 926-8492.

James John Wallace is licensed to practice in Wisconsin (license number 28115-021) 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 1538196704.

Contact Information

James John Wallace, DO
145 N. Main St,
Fond Du Lac, WI 54935-3423
(920) 926-8492
(920) 926-8903



Physician's Profile

Full NameJames John Wallace
GenderMale
SpecialityFamily Medicine
Location145 N. Main St, Fond Du Lac, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1538196704
  • Provider Enumeration Date: 06/26/2006
  • Last Update Date: 03/10/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 9537065362
  • Enrollment ID: I20231012002156

Medical Identifiers

Medical identifiers for James John Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538196704NPI-NPPES
P00983439OtherWIRAILROAD MEDICARE
30027800MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 28115-021 (Wisconsin)Primary

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. James John Wallace allows following entities to bill medicare on his behalf.
Entity NameMemphis Health Center, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144236902
PECOS PAC ID: 7315859972
Enrollment ID: O20031103000245

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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. James John 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
James John Wallace, DO
420 E Division St,
Fond Du Lac, WI 54935-4560

Ph: (920) 926-8340
James John Wallace, DO
145 N. Main St,
Fond Du Lac, WI 54935-3423

Ph: (920) 926-8492

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Family Medicine Doctors in Fond Du Lac, WI

Jeanette Roehl, APNP FNP
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 210 Wisconsin American Dr, Fond Du Lac, WI 54937
Phone: 920-907-7000    
Lynda J Kasper, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 420 E Division St, Fond Du Lac, WI 54935
Phone: 920-926-8200    
Heather Pearson Schmidt, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 421 Camelot Dr, Fond Du Lac, WI 54935
Phone: 920-926-8500    Fax: 920-926-8983
Gina M Everson, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 420 E Division St, Fond Du Lac, WI 54935
Phone: 920-926-8200    
William J Brusky, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 145 N Main St, Fond Du Lac, WI 54935
Phone: 920-926-8492    
Marcie Ann Janz, APNP
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 481 E Division St, Suite 100, Fond Du Lac, WI 54935
Phone: 920-929-8120    Fax: 920-929-8126
Gay D Trepanier, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 481 E Division St, Suite 100, Fond Du Lac, WI 54935
Phone: 920-929-8120    Fax: 920-929-8126

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