Casey Stephen Wallace, DPT in Newport Beach, CA - Medicare Physical Therapy Provider

Casey Stephen Wallace, DPT is a medicare enrolled "Physical Therapist" provider in Newport Beach, California. He graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice California Rehab And Sports Therapy and his current practice location is 200 Newport Center Dr Ste 213, Newport Beach, California. You can reach out to his office (for appointments etc.) via phone at (949) 644-1322.

Casey Stephen Wallace is licensed to practice in * (Not Available) (license number ) 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 1326550518.

Contact Information

	Casey Stephen Wallace, DPT
	200 Newport Center Dr Ste 213, Newport Beach, CA 92660-7503
	(949) 644-1322
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Casey Stephen Wallace
Gender	Male
Speciality	Physical Therapy
Experience	7 Years
Location	200 Newport Center Dr Ste 213, Newport Beach, California
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:

Casey Stephen Wallace graduated from medical school in 2017

NPI Data:

NPI Number: 1326550518
Provider Enumeration Date: 10/29/2017
Last Update Date: 10/29/2017

Medicare PECOS Information:

PECOS PAC ID: 6002177946
Enrollment ID: I20180309001305

Medical Identifiers

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

Identifier	Type	State	Issuer
1326550518	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (Not Available))	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
California Rehab And Sports Therapy	6709788896	121

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. Casey Stephen Wallace allows following entities to bill medicare on his behalf.

Provider Name	California Rehab And Sports Therapy
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1386696409 PECOS PAC ID: 6709788896 Enrollment ID: O20040120001115

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. Casey Stephen 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
Casey Stephen Wallace, DPT 30059 Big Range Rd, Canyon Lake, CA 92587-7660 Ph: (951) 809-6892	Casey Stephen Wallace, DPT 200 Newport Center Dr Ste 213, Newport Beach, CA 92660-7503 Ph: (949) 644-1322

Reviews and Comments

Physical Therapist in Newport Beach, CA

Dr. Nicole Aho, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 15 Corporate Plaza Dr, Newport Beach, CA 92660 Phone: 949-759-1840
Superior Wound Care And Physical Therapy, Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 1441 Superior Ave Ste D, Newport Beach, CA 92663 Phone: 949-646-0653 Fax: 949-646-9228
Ayako Physical Therapy, Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 1401 Avocado Ave # 808, Newport Beach, CA 92660 Phone: 949-706-1001 Fax: 949-706-1002
William Roper, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3300 Irvine Ave Ste 130, Newport Beach, CA 92660 Phone: 949-271-0053 Fax: 949-271-9453
Kristen Alyssa Nelson, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 351 Hospital Rd, Suite 007, Newport Beach, CA 92663 Phone: 949-525-9995
Gavin Kam, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20280 Sw Acacia St Ste 120, Newport Beach, CA 92660 Phone: 949-590-9350 Fax: 714-361-2606
Julie Sias, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2518 Salerno, Newport Beach, CA 92660 Phone: 714-331-4145

Casey Stephen Wallace, DPT - Medicare Physical Therapist in Newport Beach, CA