CALVIN P WALLACE MD
NPI 1922026236
Family Medicine in Covington, WA
About Calvin P Wallace Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CALVIN P WALLACE MD (NPI 1922026236) is an individual family medicine provider in Covington, Washington, licensed in Washington (MD00024602) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
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)
Calvin P Wallace Md 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 98042 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.
COVINGTON, WA 98042
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 Calvin Wallace's NPI number?
The NPI number for Calvin Wallace is 1922026236. It was assigned to this individual provider in the NPPES registry on July 17, 2006.
Where is Calvin Wallace located?
Calvin Wallace practices at 17700 SE 272nd St, Covington, WA 98042. The listed phone number is (253) 372-7128.
What is Calvin Wallace's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Calvin Wallace enrolled in Medicare?
Yes. Calvin Wallace is registered in the Medicare PECOS enrollment system.
What insurance does Calvin Wallace accept?
Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Calvin 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 Calvin Wallace was last updated on September 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Calvin P Wallace, MD · NPI 1922026236
Family Medicine physician in Covington, Washington. Individual provider, active in the CMS NPPES registry since July 17, 2006.
## Identity
- **NPI:** 1922026236 (Entity type: Individual)
- **Enumerated:** July 17, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD00024602 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 17700 SE 272ND ST, Covington, WA 98042-4951
- **Phone:** (253) 372-7128
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** September 10, 2010
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Source: [NPI Profile](https://npiprofile.com/npi/1922026236) · Data from the CMS NPPES public registry.