MOIRA PETIRS WALLACE M.D.
NPI 1053549212
Emergency Medicine in Jacksonville, FL
About Moira Petirs Wallace M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MOIRA PETIRS WALLACE M.D. (NPI 1053549212) is an individual emergency medicine provider in Jacksonville, Florida, licensed in Florida (ME133941) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent's Riverside, and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (2008).
NPPES Registry Identity
Specialties & Licenses
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Moira Petirs Wallace M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ascension St Vincent's Riverside
Acute Care Hospitals · Jacksonville, FLHca Florida Memorial Hospital
Acute Care Hospitals · Jacksonville, FLAscension St Vincent's Southside
Acute Care Hospitals · Jacksonville, FLAscension Sacred Heart Gulf
Acute Care Hospitals · Port Saint Joe, FLAscension St Vincent's St Johns County
Acute Care Hospitals · St Johns, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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 Moira Wallace's NPI number?
The NPI number for Moira Wallace is 1053549212. It was assigned to this individual provider in the NPPES registry on June 26, 2009.
Where is Moira Wallace located?
Moira Wallace practices at 3625 University Blvd S, Jacksonville, FL 32216. The listed phone number is (904) 702-6111.
What is Moira Wallace's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Moira Wallace enrolled in Medicare?
Yes. Moira Wallace is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Moira Wallace affiliated with any hospitals?
According to CMS data, Moira Wallace is affiliated with Ascension St Vincent's Riverside, Hca Florida Memorial Hospital, Ascension St Vincent's Southside, Ascension Sacred Heart Gulf and Ascension St Vincent's St Johns County.
When was this NPI record last updated?
The NPPES record for Moira Wallace was last updated on October 26, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.
