BLAKE TAYLOR WALLACE DPM
NPI 1083216949
Podiatrist - Foot & Ankle Surgery in Phoenix, AZ
About Blake Taylor Wallace Dpm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLAKE TAYLOR WALLACE DPM (NPI 1083216949) is an individual foot & ankle surgery provider in Phoenix, Arizona, licensed in Arizona (POD-001117) and active in the NPI registry since November 2020. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of California School Of Podiatric Medicine (2021).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted Insurance
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
Blake Taylor Wallace Dpm 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.
Other Providers at the Same Location NPPES
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 Blake Wallace's NPI number?
The NPI number for Blake Wallace is 1083216949. It was assigned to this individual provider in the NPPES registry on November 14, 2020.
Where is Blake Wallace located?
Blake Wallace practices at 15601 N 28th Ave Ste 102, Phoenix, AZ 85053. The listed phone number is (480) 844-8218.
What is Blake Wallace's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is Blake Wallace enrolled in Medicare?
Yes. Blake 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.
What insurance does Blake Wallace accept?
Health plans from Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and Oscar Health Plan, Inc. and 1 other insurer list Blake Wallace as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Blake Wallace was last updated on July 29, 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.
