Tyler Wallis, DPT in Lincoln, CA - Medicare Physical Therapist Provider

Tyler Wallis, DPT is a medicare enrolled "Physical Therapist" provider in Lincoln, California. His current practice location is 801 Sterling Pkwy Ste 150, Lincoln, California. You can reach out to his office (for appointments etc.) via phone at (916) 543-7900.

Tyler Wallis is licensed to practice in California (license number 303263) 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 1184333494.

Contact Information

	Tyler Wallis, DPT
	801 Sterling Pkwy Ste 150, Lincoln, CA 95648-7328
	(916) 543-7900
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tyler Wallis
Gender	Male
Speciality	Physical Therapist
Location	801 Sterling Pkwy Ste 150, Lincoln, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184333494
Provider Enumeration Date: 11/16/2022
Last Update Date: 11/16/2022

Medicare PECOS Information:

PECOS PAC ID: 2769850460
Enrollment ID: I20221201000125

Medical Identifiers

Medical identifiers for Tyler Wallis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184333494	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	303263 (California)	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. Tyler Wallis allows following entities to bill medicare on his behalf.

Provider Name	Schaack Physical Therapy Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1477987261 PECOS PAC ID: 0143444992 Enrollment ID: O20140617001707

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. Tyler Wallis 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
Tyler Wallis, DPT 2330 E Bidwell St Ste 130, Folsom, CA 95630-3897 Ph: (916) 853-0255	Tyler Wallis, DPT 801 Sterling Pkwy Ste 150, Lincoln, CA 95648-7328 Ph: (916) 543-7900

Reviews and Comments

Physical Therapist in Lincoln, CA

Ms. Kimberly Ann Riggs, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 685 Twelve Bridges Dr Ste A, Lincoln, CA 95648 Phone: 916-408-5455 Fax: 916-408-5454
Eli P Mead, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 801 Sterling Pkwy Ste 150, Lincoln, CA 95648 Phone: 916-543-7900
Ms. Lori Ann Peterson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1550 3rd St, Lincoln Manor, Lincoln, CA 95648 Phone: 916-645-7761 Fax: 916-645-6942
Dr. David Mickelsen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 531 N St, Lincoln, CA 95648 Phone: 321-362-8794
Maria Cristy Edwards, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 Estrella Pl, Lincoln, CA 95648 Phone: 916-872-0429
Heather White, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 801 Sterling Pkwy Ste 150, Lincoln, CA 95648 Phone: 916-543-7900 Fax: 916-853-0259
Mr. Mark Reyes Baello, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1550 3rd St, Lincoln Manor, Lincoln, CA 75648 Phone: 916-645-7761 Fax: 916-645-6942

Tyler Wallis, DPT - Medicare Physical Therapist in Lincoln, CA