ERIK JACK WALLACE PA-C
NPI 1063193084
Physician Assistant in Bethlehem, PA
About Erik Jack Wallace Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ERIK JACK WALLACE PA-C (NPI 1063193084) is an individual physician assistant in Bethlehem, Pennsylvania, licensed in Pennsylvania (MA065385) and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS, is affiliated with St Lukes Quakertown Hospital, and maintains a secondary practice location in Easton.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Erik Jack Wallace Pa-c 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
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 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Lukes Quakertown Hospital
Acute Care Hospitals · Quakertown, PASt Luke's Hospital Bethlehem
Acute Care Hospitals · Bethlehem, PAGeisinger St. Luke's Hospital
Acute Care Hospitals · Orwigsburg, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 18015 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.
BETHLEHEM, PA 18015
BETHLEHEM, PA 18015
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 Erik Wallace's NPI number?
The NPI number for Erik Wallace is 1063193084. It was assigned to this individual provider in the NPPES registry on July 31, 2023.
Where is Erik Wallace located?
Erik Wallace practices at 801 Ostrum St, Bethlehem, PA 18015. The listed phone number is (866) 785-8537.
What is Erik Wallace's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Erik Wallace enrolled in Medicare?
Yes. Erik 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 Erik Wallace affiliated with any hospitals?
According to CMS data, Erik Wallace is affiliated with St Lukes Quakertown Hospital, St Luke's Hospital Bethlehem and Geisinger St. Luke's Hospital.
When was this NPI record last updated?
The NPPES record for Erik Wallace was last updated on February 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Erik Jack Wallace, PA-C · NPI 1063193084
Physician Assistant physician in Bethlehem, Pennsylvania. Individual provider, active in the CMS NPPES registry since July 31, 2023.
## Identity
- **NPI:** 1063193084 (Entity type: Individual)
- **Enumerated:** July 31, 2023
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** MA065385 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 801 OSTRUM ST, Bethlehem, PA 18015-1000
- **Phone:** (866) 785-8537
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** February 12, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1063193084) · Data from the CMS NPPES public registry.