James Ryan Wall, DPT in Tupelo, MS - Medicare Physical Therapy Provider

James Ryan Wall, DPT is a medicare enrolled "Physical Therapist" provider in Tupelo, Mississippi. He graduated from medical school in 2021 and has 3 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Sog Physical Therapy and his current practice location is 1211 S Gloster St Ste C, Tupelo, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 432-1523.

James Ryan Wall is licensed to practice in Mississippi (license number PT7109) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1962071050.

Contact Information

	James Ryan Wall, DPT
	1211 S Gloster St Ste C, Tupelo, MS 38801-6548
	(662) 432-1523
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	James Ryan Wall
Gender	Male
Speciality	Physical Therapy
Experience	3 Years
Location	1211 S Gloster St Ste C, Tupelo, Mississippi
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

James Ryan Wall graduated from medical school in 2021

NPI Data:

NPI Number: 1962071050
Provider Enumeration Date: 06/22/2021
Last Update Date: 05/04/2022

Medicare PECOS Information:

PECOS PAC ID: 9335540988
Enrollment ID: I20210702000945

Medical Identifiers

Medical identifiers for James Ryan Wall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962071050	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT7109 (Mississippi)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sog Physical Therapy	1850627209	8

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. James Ryan Wall allows following entities to bill medicare on his behalf.

Provider Name	Drayer Physical Therapy Mississippi Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1952732448 PECOS PAC ID: 3274834858 Enrollment ID: O20160314001040

Provider Name	Sog Physical Therapy
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1902361660 PECOS PAC ID: 1850627209 Enrollment ID: O20190724000229

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. James Ryan Wall 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
James Ryan Wall, DPT 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (423) 206-4158	James Ryan Wall, DPT 1211 S Gloster St Ste C, Tupelo, MS 38801-6548 Ph: (662) 432-1523

Reviews and Comments

Physical Therapist in Tupelo, MS

Tupelo Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1743 Cliff Gookin Blvd, Tupelo, MS 38801 Phone: 662-680-5216
Molly Bryan Davis, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 154 Merritt Dr, Tupelo, MS 38801 Phone: 785-826-6134
John Everett, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 830 S Gloster St, Tupelo, MS 38801 Phone: 662-377-4058
Jennifer L Rodabough, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2089 Southridge Dr, Tupelo, MS 38801 Phone: 662-407-0801 Fax: 662-407-0807
Mr. Mark Chapin Bresee, MPT, OCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 600 Air Park Rd, Tupelo, MS 38801 Phone: 662-842-2100 Fax: 662-842-2105
Mr. Joseph John Elmer, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1743 Cliff Gookin Blvd, Tupelo, MS 38801 Phone: 662-842-0602 Fax: 662-680-5217
Sara Westmoreland Smith, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1901 Briar Ridge Rd, Tupelo, MS 38804 Phone: 716-662-4955

James Ryan Wall, DPT - Medicare Physical Therapist in Tupelo, MS