Colleen R Wallace, DPT in Bristol, NH - Medicare Physical Therapist Provider

Colleen R Wallace, DPT is a medicare enrolled "Physical Therapist" provider in Bristol, New Hampshire. Her current practice location is 20 Lake St, Bristol, New Hampshire. You can reach out to her office (for appointments etc.) via phone at (603) 393-0135.

Colleen R Wallace is licensed to practice in New Hampshire (license number 4692) 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 1457964678.

Contact Information

	Colleen R Wallace, DPT
	20 Lake St, Bristol, NH 03222-4009
	(603) 393-0135
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Colleen R Wallace
Gender	Female
Speciality	Physical Therapist
Location	20 Lake St, Bristol, New Hampshire
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457964678
Provider Enumeration Date: 08/27/2020
Last Update Date: 11/27/2024

Medicare PECOS Information:

PECOS PAC ID: 7911317060
Enrollment ID: I20201102001075

Medical Identifiers

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

Identifier	Type	State	Issuer
1457964678	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	4692 (New Hampshire)	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. Colleen R Wallace allows following entities to bill medicare on her behalf.

Provider Name	Progressive Therapy Services, Llc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1386933430 PECOS PAC ID: 9234428590 Enrollment ID: O20160510001892

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. Colleen R 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
Colleen R Wallace, DPT Po Box 430, Bristol, NH 03222-0430 Ph: (603) 393-0135	Colleen R Wallace, DPT 20 Lake St, Bristol, NH 03222-4009 Ph: (603) 393-0135

Reviews and Comments

Physical Therapist in Bristol, NH

Cassie L Dorval, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 790 Lake St, Bristol, NH 03222 Phone: 603-744-0275 Fax: 603-744-9378
Dr. Eydie Kendall, PT, PHD Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 51 Brook Rd, Bristol, NH 03222 Phone: 208-659-5848
Brent B Meserve, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 790 Lake St, Bristol, NH 03222 Phone: 603-744-0275 Fax: 603-744-9378
Matthew Edward Kurz, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 790 Lake St, Bristol, NH 03222 Phone: 603-744-0275 Fax: 603-744-2138
Johnelms Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 790 Lake St, Bristol, NH 03222 Phone: 603-744-0275 Fax: 603-744-9378
Bonnie K Colby, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 790 Lake St, Bristol, NH 03222 Phone: 603-744-0275 Fax: 603-744-9378

Colleen R Wallace, DPT - Medicare Physical Therapist in Bristol, NH