Dr. Timothy Mark Wallace

Home >Dr. Timothy Mark Wallace

NPI Number Detailed Information

Provider Information:

Name:	Dr. Timothy Mark Wallace
Gender:	M
Provider License Number If Given:	23400

NPI Information:

NPI:	1063438307
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	7/13/2006
Last Update Date:	1/27/2012
Reputation Report:

Provider Business Mailing Address:

Address:	4357 PHELAN RD Phelan, CA 92371
Phone Number:	7608684481
Fax Number:	7608681879

Provider Business Practice Location Address:

Address:	4357 PHELAN RD Phelan, CA 92371
Phone Number:	7608684481
Fax Number:	7608681879

Provider Taxonomy:

Primary:	111N00000X
Secondary (if any):
State:	CA

Top Doctors in CA

About Dr. Timothy Mark Wallace

Dr. Timothy Mark Wallace (DR. TIMOTHY MARK WALLACE ) is A Chiropractor Physician in Phelan, CA. The NPI Number for Dr. Timothy Mark Wallace is 1063438307.

The current location address for Dr. Timothy Mark Wallace is 4357 PHELAN RD Phelan, CA 92371 and the contact number is 7608684481 and fax number is 7608681879. The mailing address for Dr. Timothy Mark Wallace is 4357 PHELAN RD Phelan, CA 92371- 7608684481 (mailing address contact number - 7608684481).

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Timothy Mark Wallace ?

Answer: The NPI Number for Dr. Timothy Mark Wallace is 1063438307

Where is Dr. Timothy Mark Wallace located?

Answer: Dr. Timothy Mark Wallace is located at 4357 PHELAN RD Phelan, CA 92371.

What is the specialty for Dr. Timothy Mark Wallace ?

Answer: The Specialty of Dr. Timothy Mark Wallace is A Chiropractor Physician.

Are there any online reviews for Dr. Timothy Mark Wallace ?

Answer: Yes! Check It Now.

Are there any other health care providers in Phelan, CA?

Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Dr. Timothy Mark Wallace

Number of HCPCS	2
Number of Medicare Beneficiaries	27
Number of Services	237
Total Submitted Charge Amount	9718.2
Total Medicare Allowed Amount	8986.36
Total Medicare Payment Amount	6351.11
Total Medicare Standardized Payment Amount	6308.94
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services	0
Number of Medicare Beneficiaries With Drug Services	0
Number of Drug Services	0
Total Drug Submitted Charge Amount	0
Total Drug Medicare Allowed Amount	0
Total Drug Medicare Payment Amount	0
Total Drug Medicare Standardized Payment Amount	0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services	2
Number of Medicare Beneficiaries With Medical	27
Number of Medical Services	237
Total Medical Submitted Charge Amount	9718.2
Total Medical Medicare Allowed Amount	8986.36
Total Medical Medicare Payment Amount	6351.11
Total Medical Medicare Standardized Payment Amount	6308.94
Average Age of Beneficiaries	72
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74	13
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries
Number of Male Beneficiaries
Number of Non-Hispanic White Beneficiaries
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement	0
Number of Beneficiaries With Medicare Only Entitlement	27
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression
Percent (%) of Beneficiaries Identified With Diabetes	0.44
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.44
Percent (%) of Beneficiaries Identified With Hypertension	0.52
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease
Percent (%) of Beneficiaries Identified With Osteoporosis	0
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders	0
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries	0.9254

More Providers in phelan , ca

Dr. Peter Stoops
Family Medicine Physician
NPI Number: 1518912526
Address: 3936 PHELAN RD SUITE F1 Phelan, CA 92371 , Phone: 7608686622

Dr. Timothy Mark Wallace
Chiropractor
NPI Number: 1063438307
Address: 4357 PHELAN RD Phelan, CA 92371 , Phone: 7608684481

Vivek S Gill
Internal Medicine Physician
NPI Number: 1992712616
Address: 9723 SIERRA VISTA RD UNIT A Phelan, CA 92371 , Phone: 7608681990

Thrifty Payless Inc
Durable Medical Equipment & Medical Supplies
NPI Number: 1073622429
Address: 4120 PHELAN RD Phelan, CA 92371 , Phone: 7608683413

Gerald J Walde
Pharmacy
NPI Number: 1326150244
Address: 9723 SIERRA VISTA RD STE E Phelan, CA 92371 , Phone: 7608686526

Michelle Marconnette, D.D.S., Inc.
General Practice Dentistry
NPI Number: 1033292487
Address: 3936 PHELAN RD STE A4 Phelan, CA 92371 , Phone: 7608684600

Mrs. Sharon Dee Norris
Pharmacy Technician
NPI Number: 1598828469
Address: 3936 PHELAN RD Phelan, CA 92371 , Phone: 7608686526

Ms. Sheryl Lee Mateer
Pharmacy Technician
NPI Number: 1366505315
Address: 3936 PHELAN RD Phelan, CA 92371 , Phone: 7608686526

Mrs. Kimberly Ann Loza
Pharmacy Technician
NPI Number: 1164585113
Address: 3936 PHELAN RD Phelan, CA 92371 , Phone: 7608686526

Grace Jung Kim
Acupuncturist
NPI Number: 1164567772
Address: 3777 PHELAN RD Phelan, CA 92371 , Phone: 7608685618

Tara Matthews
Acupuncturist
NPI Number: 1114040045
Address: 4120 PHELAN RD #8 Phelan, CA 92371 , Phone: 7608688088

Snowline Joint Unified School District
School Counselor
NPI Number: 1659563450
Address: 4075 NIELSON RD Phelan, CA 92371 , Phone: 7608685817

William Bennett Mashtalier
Physical Therapist
NPI Number: 1235309881
Address: 3936 PHELAN RD B-9 Phelan, CA 92371 , Phone: 7602206932

Dr. Dipak A Katbamna
Dentist
NPI Number: 1598925000
Address: 4365 PHELAN RD Phelan, CA 92371 , Phone: 7608682244

Mrs. Patricia Joan Felt
Physical Therapist
NPI Number: 1700049335
Address: 3936 PHELAN RD Phelan, CA 92371 , Phone: 7608680800

Bryan D. Vanesian Od A Professional Optometry Corporation
Optometrist
NPI Number: 1437312832
Address: 4355 PHELAN RD Phelan, CA 92371 , Phone: 7608682020

Snowview Physical Therapy
Physical Therapy Clinic/Center
NPI Number: 1407010242
Address: 3936 PHELAN RD STE B9 Phelan, CA 92371 , Phone: 7608680800

Dr. Ben Wilder Eby
Dentist
NPI Number: 1992969216
Address: 4220 PHELAN ROAD Phelan, CA 92371 , Phone: 7608682786

Dr. Jane Elizabeth Caballero
Pediatric Dentist
NPI Number: 1487880589
Address: 4220 PHELAN RD Phelan, CA 92371 , Phone: 7608682783

Dr. Dena Thamsopit
Optometrist
NPI Number: 1740410307
Address: 4355 PHELAN RD Phelan, CA 92371 , Phone: 7608682020

Family Medical Clinic & Urgent Care Inc
Clinic/Center
NPI Number: 1114240371
Address: 9723 SIERRA VISTA RD UNIT A Phelan, CA 92371 , Phone: 7608681990

Rachelle Davis
Pharmacist
NPI Number: 1730409624
Address: 4013 PHELAN RD Phelan, CA 92371 , Phone: 7608683413

Mrs. Kayle Lynn Mcdonald
Licensed Vocational Nurse
NPI Number: 1235471988
Address: 10870 SONORA RD Phelan, CA 92371 , Phone: 7609957759

Dr. Tracy Rhodes
Pharmacist
NPI Number: 1003250028
Address: 4013 PHELAN RD Phelan, CA 92371 , Phone: 7608683413

John Megally
Pharmacist
NPI Number: 1295148401
Address: 4013 PHELAN RD Phelan, CA 92371 , Phone: 7608683413

Michelle Marconnette
General Practice Dentistry
NPI Number: 1841699394
Address: 3936 PHELAN RD SUITE A4 Phelan, CA 92371 , Phone: 7608684600

Rite Aid Corporation
Community/Retail Pharmacy
NPI Number: 1023474426
Address: 4013 PHELAN RD Phelan, CA 92371 , Phone: 7608683413

Michael Khanh Luu
Pharmacist
NPI Number: 1639535057
Address: 4013 PHELAN RD Phelan, CA 92371 , Phone: 7608683413

Pharmacy Mart Inc
Pharmacy
NPI Number: 1992162077
Address: 4050 PHELAN RD STE 8 Phelan, CA 92371 , Phone: 7608682800

Dipak Katbamna Dds P.C.
Dental Clinic/Center
NPI Number: 1164876462
Address: 4365 PHELAN RD Phelan, CA 92371 , Phone: 7608682244

Dr. Melissa Angelica Vega
Chiropractor
NPI Number: 1417400367
Address: 10630 WILSON RANCH RD Phelan, CA 92371 , Phone: 7609120139

D J A M Inc
Pharmacy
NPI Number: 1285185488
Address: 3936 PHELAN RD STE A1 Phelan, CA 92371 , Phone: 7607060130

David Mourcus
Pharmacist
NPI Number: 1427592237
Address: 3936 PHELAN RD STE A1 Phelan, CA 92371 , Phone: 7143626410

Mrs. Betty Jo Tronaas
Family Nurse Practitioner
NPI Number: 1548784457
Address: 3936 PHELAN RD Phelan, CA 92371 , Phone: 9517423524

Bee Healthy Rehab, Llc
Occupational Therapy Assistant
NPI Number: 1053837583
Address: 8189 ARROWHEAD RD Phelan, CA 92371 , Phone: 9093585931

Rachel Marie Ryan
Registered Nurse
NPI Number: 1366969867
Address: 3936 PHELAN RD STE F1 Phelan, CA 92371 , Phone: 7608686622

Salvador Sotelo
Assistant Behavior Analyst
NPI Number: 1548738081
Address: 11167 WAGON TRAIN RD Phelan, CA 92371 , Phone: 9493107596

Paola Sotelo Policarpo
Assistant Behavior Analyst
NPI Number: 1588132575
Address: 11167 WAGON TRAIN RD Phelan, CA 92371 , Phone: 9492783271

Recovery Revelations, Inc.
Substance Abuse Rehabilitation Facility
NPI Number: 1407310352
Address: 9980 RIGGINS RD Phelan, CA 92371 , Phone: 6266967107

Mischka Psychological Pc
Addiction (Substance Use Disorder) Psychologist
NPI Number: 1932765336
Address: 4468 PHELAN RD Phelan, CA 92371 , Phone: 7605638111

The Living Room - Senior Services
In Home Supportive Care Agency
NPI Number: 1245891761
Address: 9828 VALLE VISTA RD Phelan, CA 92371 , Phone: 7609835909

Mrs. Maya Feldman
Massage Therapist
NPI Number: 1598303877
Address: 10350 WILSON RANCH RD UNIT A Phelan, CA 92371 , Phone: 9092618895

Munju Anna Chung
Clinical Social Worker
NPI Number: 1720694987
Address: 8624 WHITE RD Phelan, CA 92371 , Phone: 8182163631

Dr. Jesse Michael Wetzel
Optometrist
NPI Number: 1811595044
Address: 4355 PHELAN RD Phelan, CA 92371 , Phone: 7608682020

Brittany Woodburn
Speech-Language Pathologist
NPI Number: 1992385918
Address: 2775 DEL ROSA RD. Phelan, CA 92371 , Phone: 7606171170

Nelene Castellanos
Licensed Practical Nurse
NPI Number: 1912573387
Address: 10222 MIDDLETON RD # B Phelan, CA 92371 , Phone: 9123449210

J.Caballero D.D.S., Inc
Dentist
NPI Number: 1093388589
Address: 4220 PHELAN RD Phelan, CA 92371 , Phone: 7608682783

Michael Edward Poblete
Optometrist
NPI Number: 1164196820
Address: 4355 PHELAN RD Phelan, CA 92371 , Phone: 7608682020

Lindsey Lee Parker
Pharmacy Technician
NPI Number: 1134898570
Address: 4120 PHELAN RD Phelan, CA 92371 , Phone: 7608683413

Lucia Ramirez
Community Based Hospice Care Agency
NPI Number: 1053052753
Address: 4985 DOS PALMAS RD Phelan, CA 92371 , Phone: 7608852335