Mark E Wallace, MD - Family Medicine in Greeley, CO

Mark E Wallace, MD is a Family Medicine physician based in Greeley, Colorado. Mark E Wallace is licensed to practice in Colorado (license number DR32010) and his current practice location is 1600 23rd Ave, Greeley, Colorado. He can be reached at his office (for appointments etc.) via phone at (970) 356-2424.

NPI number for Mark E Wallace is 1083603088 and his current mailing address is 1600 23rd Ave, Greeley, Colorado. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1083603088.

Contact Information

Mark E Wallace, MD
1600 23rd Ave,
Greeley, CO 80634-6070
(970) 356-2424
(970) 346-2774



Physician's Profile

Full NameMark E Wallace
GenderMale
SpecialityFamily Medicine
Location1600 23rd Ave, Greeley, Colorado
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1083603088
  • Provider Enumeration Date: 10/21/2005
  • Last Update Date: 12/20/2010

Medical Identifiers

Medical identifiers for Mark E Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083603088NPI-NPPES
01320100MedicaidCO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine DR32010 (Colorado)Primary
207Q00000XFamily Medicine G056273 (California)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. Mark E 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
Mark E Wallace, MD
1600 23rd Ave,
Greeley, CO 80634-6070

Ph: (970) 356-2424
Mark E Wallace, MD
1600 23rd Ave,
Greeley, CO 80634-6070

Ph: (970) 356-2424

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› Verified 9 days ago


Family Medicine Doctors in Greeley, CO

Jacqueline S Bearden, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 5623 W 19th St, Greeley, CO 80634
Phone: 970-353-9011    Fax: 970-353-9135
Joanna Humprey Branum, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6801 W 20th St Unit 101, Greeley, CO 80634
Phone: 970-378-8000    Fax: 970-378-8088
Chelsea Weiland, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6767 29th St, Greeley, CO 80634
Phone: 970-652-2801    Fax: 970-652-2827
Jenna Marie Starke, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1600 23rd Ave, Greeley, CO 80634
Phone: 406-437-3002    
Linda E Young, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1900 16th St, Greeley, CO 80631
Phone: 970-350-2454    Fax: 970-350-2447
Stephen Zerlang,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1600 23rd Ave, Greeley, CO 80634
Phone: 970-346-2800    Fax: 970-346-2774

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