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ELLIE WALLACE DDS
NPI 1124850763
Dentist - General Practice in Cadillac, MI

Active since August 14, 2024PECOS Enrolled
7800 US HIGHWAY 131 S, CADILLAC, MI 49601(231) 775-9797 Get Directions Write a Review

NPPES record last updated: August 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ellie Wallace Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELLIE WALLACE DDS (NPI 1124850763) is an individual general practice provider in Cadillac, Michigan, licensed in Michigan (2901602301) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124850763
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameELLIE WALLACECredential: DDS
Location Address7800 US HIGHWAY 131 SCadillac, MI 49601-7080
Mailing Address7800 Us Highway 131 SCadillac, MI 49601-7080 · (231) 775-9797
Phone(231) 775-9797
Sole ProprietorNo
Enumeration DateAugust 14, 2024
NPPES CertifiedAugust 14, 2024
✔ NPI 1124850763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MI · 2901602301
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
7800 US HIGHWAY 131 S, Cadillac, MI 49601
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ellie Wallace Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHAEL E. LUEDER D.D.S.
Dentist
7800 US HIGHWAY 131 S
CADILLAC, MI 49601
Wexford County (231) 775-9797
DR. SPENCER MATTHEW GRAHAM DDS
Dentist (General Practice)
7800 US HIGHWAY 131 S
CADILLAC, MI 49601
Wexford County (231) 775-9797
ALEXUS LYNN LITTLE DDS
Dentist (General Practice)
7800 US HIGHWAY 131 S
CADILLAC, MI 49601
Wexford County (231) 775-9797
LOREN J DEHAAN D.D.S.
Dentist
7800 US HIGHWAY 131 S
CADILLAC, MI 49601
Wexford County (231) 775-9797
MAXWELL REAUME DDS
Dentist (General Practice)
7800 US HIGHWAY 131 S
CADILLAC, MI 49601
Wexford County (231) 775-9797
DR. NADINE KOBTY D.D.S.
Dentist
7800 US HIGHWAY 131 S
CADILLAC, MI 49601
Wexford County (231) 775-9797
JOHN D. MCKELLOP D.D.S.
Dentist
7800 US HIGHWAY 131 S
CADILLAC, MI 49601
Wexford County (231) 775-9797
TIMOTHY J REAUME D.D.S.
Dentist
7800 US HIGHWAY 131 S
CADILLAC, MI 49601
Wexford County (231) 775-9797

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 Ellie Wallace's NPI number?

The NPI number for Ellie Wallace is 1124850763. It was assigned to this individual provider in the NPPES registry on August 14, 2024.

Where is Ellie Wallace located?

Ellie Wallace practices at 7800 Us Highway 131 S, Cadillac, MI 49601. The listed phone number is (231) 775-9797.

What is Ellie Wallace's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Ellie Wallace enrolled in Medicare?

Yes. Ellie Wallace is registered in the Medicare PECOS enrollment system.

What insurance does Ellie Wallace accept?

Health plans from BEST Life, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 7 other insurers list Ellie 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 Ellie Wallace was last updated on August 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.