MR. JOHN DAVID WALLACE PA-C
NPI 1487909511
Physician Assistant in East Jordan, MI
About Mr. John David Wallace Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JOHN DAVID WALLACE PA-C (NPI 1487909511) is an individual physician assistant in East Jordan, Michigan, licensed in Michigan (5601006422) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS and maintains a secondary practice location in Indian River.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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 (PECOS)
Mr. John David Wallace Pa-c 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 49727 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
EAST JORDAN, MI 49727
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 1487909511. It was assigned to this individual provider in the NPPES registry on July 15, 2012.
Where is John Wallace located?
John Wallace practices at 601 Bridge St, East Jordan, MI 49727. The listed phone number is (231) 536-2206.
What is John Wallace's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is John Wallace enrolled in Medicare?
Yes. John Wallace is registered in the Medicare PECOS enrollment system.
What insurance does John Wallace accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list John 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 John Wallace was last updated on September 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
