JOHN T WALLACE II MD
NPI 1023079803
Internal Medicine in Fort Bragg, CA
About John T Wallace Ii Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN T WALLACE II MD (NPI 1023079803) is an individual internal medicine provider in Fort Bragg, California, licensed in California (G37773) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
John T Wallace Ii Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95437 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is John Wallace's NPI number?
The NPI number for John Wallace is 1023079803. It was assigned to this individual provider in the NPPES registry on March 31, 2006.
Where is John Wallace located?
John Wallace practices at 205 South St, Fort Bragg, CA 95437. The listed phone number is (707) 964-1251.
What is John Wallace's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is John Wallace enrolled in Medicare?
Yes. John Wallace is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for John Wallace was last updated on December 22, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.
