Derrick I Wallace
M.D.
Otolaryngology
About Derrick I Wallace
Derrick I Wallace, M.D., is a male healthcare professional specializing in Otolaryngology, registered under National Provider Identifier (NPI) number 1114900362. Derrick I Wallace received his medical education at ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI, graduating in 1996.
Their primary practice is located at 187 WASHINGTON AVE, Nutley, New Jersey 07110. Patients can reach the office at (973) 235-0090. Derrick I Wallace is affiliated with 2 hospitals in the area. Derrick I Wallace is enrolled in Medicare and accepts Medicare patients, is authorized to order and refer Medicare services, is authorized to prescribe medications.
As a prescriber, Derrick I Wallace has 947 prescription claims processed, totaling $44,429 in drug costs. Derrick I Wallace has been NPI-registered since 2005.
Key Metrics
Rx Claims
947
$44,428.71
Practice Locations
1
Affiliated Hospitals
2
Doctor Details
Identity & Credentials
- NPI Number
- 1114900362
- Entity Type
- Individual
- First Name
- Derrick
- Last Name
- Wallace
- Credential
- M.D.
- Gender
- Male
- Medical School
- ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
- Graduation Year
- 1996
- Sole Proprietor
- Yes
- Status
- active
Primary Practice Location
- Address
- 187 WASHINGTON AVE
- City
- Nutley
- State
- New Jersey
- ZIP
- 07110-3935
- Country
- United States
- Phone
- (973) 235-0090
- Fax
- (973) 235-0090
Specialty & Taxonomy
- Primary Specialty
- Otolaryngology
- Classification
- Otolaryngology
- Taxonomy Code
- 207Y00000X
NPI Registration
- Enumeration Date
- Last Updated
- Certification Date
Mailing Address
- Address
- 187 WASHINTON AVE
- City
- NUTLEY
- State
- NJ
- ZIP
- 071101980
Medicare Enrollment
- Medicare Enrolled
- Yes
- Can Order/Refer
- Yes
- Telehealth
- No
- Excluded
- No
Prescriber Information
- Authorized Prescriber
- Yes
- Total Rx Claims
- 947
- Total Rx Cost
- $44,428.71
Frequently Asked Questions
What is Derrick I Wallace's NPI number?
What does Derrick I Wallace specialize in?
Where is Derrick I Wallace located?
Does Derrick I Wallace accept Medicare?
Does Derrick I Wallace offer telehealth or virtual visits?
Can Derrick I Wallace prescribe medications?
What is an NPI Number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Derrick I Wallace is 1114900362.