John George Wallace Jr, MD - Medicare Emergency Medicine in Torrance, CA

John George Wallace Jr, MD is a medicare enrolled "Emergency Medicine - Emergency Medical Services" physician in Torrance, California. He went to Medical College Of Pennsylvania and graduated in 1980 and has 44 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Emergency Specialist Physicians Medical Associates, Inc and his current practice location is 4101 Torrance Blvd, Em Dept, Torrance, California. You can reach out to his office (for appointments etc.) via phone at (310) 540-7676.

John George Wallace Jr is licensed to practice in California (license number G45690) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1164467320.

Contact Information

John George Wallace Jr, MD
4101 Torrance Blvd, Em Dept,
Torrance, CA 90503-4607
(310) 540-7676
(405) 751-3183



Physician's Profile

Full NameJohn George Wallace Jr
GenderMale
SpecialityEmergency Medicine
Experience44 Years
Location4101 Torrance Blvd, Torrance, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • John George Wallace Jr attended and graduated from Medical College Of Pennsylvania in 1980
  NPI Data:
  • NPI Number: 1164467320
  • Provider Enumeration Date: 06/19/2006
  • Last Update Date: 09/19/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 3173711553
  • Enrollment ID: I20101229000775

Medical Identifiers

Medical identifiers for John George Wallace Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164467320NPI-NPPES
00G456900MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207PE0004XEmergency Medicine - Emergency Medical Services G45690 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Providence Little Company Of Mary Med Ctr TorranceTorrance, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Emergency Specialist Physicians Medical Associates, Inc216332982234

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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. John George Wallace Jr allows following entities to bill medicare on his behalf.
Entity NameEmergency Specialist Physicians Medical Associates, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518917913
PECOS PAC ID: 2163329822
Enrollment ID: O20031218001027

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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. John George Wallace Jr 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
John George Wallace Jr, MD
4401 W Memorial Rd, Suite 121,
Oklahoma City, OK 73134-1785

Ph: (405) 751-4664
John George Wallace Jr, MD
4101 Torrance Blvd, Em Dept,
Torrance, CA 90503-4607

Ph: (310) 540-7676

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Read more News

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Emergency Medicine Doctors in Torrance, CA

Dr. Gina L Sulmeyer, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 3330 Lomita Blvd, Torrance, CA 90505
Phone: 310-517-4785    
Dr. Manpreet Singh, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1000 W Carson St, Torrance, CA 90502
Phone: 310-222-3501    Fax: 310-782-1763
Ryan Gleber, MD, BS
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3330 Lomita Blvd, Torrance, CA 90505
Phone: 310-325-9110    
Dr. Daena Sarah Watcha, MD, MS
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1000 W Carson St, Torrance, CA 90502
Phone: 310-222-3501    Fax: 310-782-1763
Mary Sun, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3330 Lomita Blvd, Dept Of Emergency Medicine, Torrance, CA 90505
Phone: 310-717-6381    
Robert L.r. Gibbs, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 24325 Crenshaw Blvd, # 283, Torrance, CA 90505
Phone: 424-777-6642    Fax: 877-223-4535
Dr. Shannon M Stacy, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3330 Lomita Blvd, Torrance Memorial Medical Center, Torrance, CA 90505
Phone: 310-325-9110    

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