Alexandria Kluttz Wallace, OTD, OTR - Medicare Occupational Therapist in Goldsboro, NC

Alexandria Kluttz Wallace, OTD, OTR is a medicare enrolled "Occupational Therapist" provider in Goldsboro, North Carolina. Her current practice location is 1506 Wayne Memorial Dr Ste F, Goldsboro, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 221-4082.

Alexandria Kluttz Wallace is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1386424687.

Contact Information

Alexandria Kluttz Wallace, OTD, OTR
1506 Wayne Memorial Dr Ste F,
Goldsboro, NC 27534-2202
(919) 221-4082
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameAlexandria Kluttz Wallace
GenderFemale
SpecialityOccupational Therapist
Location1506 Wayne Memorial Dr Ste F, Goldsboro, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1386424687
  • Provider Enumeration Date: 10/03/2023
  • Last Update Date: 10/03/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8628424678
  • Enrollment ID: I20231026002437

Medical Identifiers

Medical identifiers for Alexandria Kluttz Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386424687NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational 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. Alexandria Kluttz Wallace allows following entities to bill medicare on her behalf.
Provider NameAdvantage Ot Inc.
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1962717025
PECOS PAC ID: 4981841582
Enrollment ID: O20130517000317

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. Alexandria Kluttz 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 AddressPractice Location Address
Alexandria Kluttz Wallace, OTD, OTR
201 Chandler Rd,
Goldsboro, NC 27534-5501

Ph: (919) 221-4082
Alexandria Kluttz Wallace, OTD, OTR
1506 Wayne Memorial Dr Ste F,
Goldsboro, NC 27534-2202

Ph: (919) 221-4082

Reviews and Comments


Occupational Therapist in Goldsboro, NC

Anna Pierce Dean,
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 1506 Wayne Memorial Dr Ste F, Goldsboro, NC 27534
Phone: 910-501-2002    
Mrs. Marjorie Coy Pate, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 600 N Madison Ave, Goldsboro, NC 27530
Phone: 919-739-0047    Fax: 919-739-9041
Kathleen B Jones,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 380 Country Day Rd, Goldsboro, NC 27530
Phone: 919-580-1060    
Mrs. Vanesha Carlton,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1305 Evergreen Ave, Goldsboro, NC 27530
Phone: 919-922-9295    
Allie Lowell Miller, OTD, OTR/L
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 1506 Wayne Memorial Dr Ste D, Goldsboro, NC 27534
Phone: 910-298-2331    
Evangeline Leukhardt,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 106 Hounds Run Dr, Goldsboro, NC 27530
Phone: 919-736-7753    
Laura Mitchell,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2401 Wayne Memorial Dr, Goldsboro, NC 27534
Phone: 919-735-2121    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.