Nolan Wallace, in Papillion, NE - Medicare Physical Therapist Provider

Nolan Wallace, is a medicare enrolled "Physical Therapist" provider in Papillion, Nebraska. His current practice location is 114 E 1st St Ste 105, Papillion, Nebraska. You can reach out to his office (for appointments etc.) via phone at (402) 933-2010.

Nolan Wallace is licensed to practice in Nebraska (license number 4484) 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 1043903107.

Contact Information

	Nolan Wallace,
	114 E 1st St Ste 105, Papillion, NE 68046-2407
	(402) 933-2010
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nolan Wallace
Gender	Male
Speciality	Physical Therapist
Location	114 E 1st St Ste 105, Papillion, Nebraska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043903107
Provider Enumeration Date: 06/02/2023
Last Update Date: 06/02/2023

Medicare PECOS Information:

PECOS PAC ID: 4880055623
Enrollment ID: I20230726003827

Medical Identifiers

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

Identifier	Type	State	Issuer
1043903107	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	4484 (Nebraska)	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. Nolan Wallace allows following entities to bill medicare on his behalf.

Provider Name	Gina V Physical Therapy, Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1720450687 PECOS PAC ID: 7517260326 Enrollment ID: O20160127002173

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. Nolan 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
Nolan Wallace, 114 E 1st St Ste 105, Papillion, NE 68046-2407 Ph: (402) 933-2010	Nolan Wallace, 114 E 1st St Ste 105, Papillion, NE 68046-2407 Ph: (402) 933-2010

Reviews and Comments

Physical Therapist in Papillion, NE

Danielle R Thiessen, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10601 S 72nd St Ste 103, Papillion, NE 68046 Phone: 402-932-2782 Fax: 402-932-2705
Mrs. Ann Elizabeth Kastrup, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 610 S Polk St, Papillion, NE 68046 Phone: 402-339-7700
Makovicka Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8419 S 73rd Plz, Suite 104, Papillion, NE 68046 Phone: 402-991-2745
Noemi Lagman, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1907 Ridgeview Dr, Papillion, NE 68046 Phone: 402-614-5105
Caitlin M Boadwee, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 114 E 1st St Ste 105, Papillion, NE 68046 Phone: 402-933-2010 Fax: 402-933-3050
Ms. Stephanie Geislinger, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 310 E Gold Coast Rd, Ste113, Papillion, NE 68046 Phone: 402-504-6506 Fax: 402-504-6509

Nolan Wallace, - Medicare Physical Therapist in Papillion, NE