Christopher Wallace, in Port Jefferson, NY - Medicare Physical Therapist Provider

Christopher Wallace, is a medicare enrolled "Physical Therapist" provider in Port Jefferson, New York. His current practice location is 635 Belle Terre Rd Ste 204, Port Jefferson, New York. You can reach out to his office (for appointments etc.) via phone at (631) 474-0008.

Christopher Wallace is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1700510500.

Contact Information

	Christopher Wallace,
	635 Belle Terre Rd Ste 204, Port Jefferson, NY 11777-1977
	(631) 474-0008
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Christopher Wallace
Gender	Male
Speciality	Physical Therapist
Location	635 Belle Terre Rd Ste 204, Port Jefferson, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700510500
Provider Enumeration Date: 07/15/2022
Last Update Date: 07/15/2022

Medicare PECOS Information:

PECOS PAC ID: 9739557190
Enrollment ID: I20221116002460

Medical Identifiers

Medical identifiers for Christopher Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700510500	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Christopher Wallace allows following entities to bill medicare on his behalf.

Provider Name	Sports Physical Therapy Occupational Therapy And Rehabilitation Servic
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1770540593 PECOS PAC ID: 0446140446 Enrollment ID: O20040315001603

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Christopher Wallace is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Christopher Wallace, 3 Huntington Quadrangle Ste 103n, Melville, NY 11747-4601 Ph: (516) 321-7526	Christopher Wallace, 635 Belle Terre Rd Ste 204, Port Jefferson, NY 11777-1977 Ph: (631) 474-0008

Reviews and Comments

Physical Therapist in Port Jefferson, NY

Ms. Laura Lynn Beck, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Belle Terre Rd, Port Jefferson, NY 11777 Phone: 631-476-5606 Fax: 631-474-6144
Mr. Brian J Heim, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 635 Belle Terre Rd, Port Jefferson, NY 11777 Phone: 631-928-2277 Fax: 631-928-7572
Mrs. Laura A Raymond, PT, CHT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 70 N Country Rd, Suite 103, Port Jefferson, NY 11777 Phone: 631-331-3608 Fax: 631-331-2392
Ms. Pattianne Ruppel, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Belle Terre Rd, Port Jefferson, NY 11777 Phone: 631-474-6111 Fax: 631-474-6861
Ms. Elizabeth Ann Thomas-lov, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5 Avon Dr, Port Jefferson, NY 11777 Phone: 631-828-0817
Anna Maria Warmuz, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Belle Terre Rd, C/o St. Charles Hospital Ped. Pt, Port Jefferson, NY 11777 Phone: 201-394-9514
Mr. John C Kawas, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 655 Belle Terre Rd, Apart 55, Port Jefferson, NY 11777 Phone: 631-974-0026

Christopher Wallace, - Medicare Physical Therapist in Port Jefferson, NY