Dr Shawn G Wallace, PT, DPT in Yukon, OK - Medicare Physical Therapist In Private Practice Provider

Dr Shawn G Wallace, PT, DPT is a medicare enrolled "Physical Therapist" provider in Yukon, Oklahoma. He graduated from medical school in 1991 and has 35 years of diverse experience with area of expertise as Physical Therapist In Private Practice. He is a member of the group practice Cutting Edge Physical Therapy, Pllc and his current practice location is 1805 Commons Cir Ste 100b, Yukon, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (405) 467-4086.

Dr Shawn G Wallace is licensed to practice in Oklahoma (license number PT1769) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1457323396.

Contact Information

	Dr Shawn G Wallace, PT, DPT
	1805 Commons Cir Ste 100b, Yukon, OK 73099-9519
	(405) 467-4086
	(405) 467-4387

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Shawn G Wallace
Gender	Male
Speciality	Physical Therapist In Private Practice
Experience	35 Years
Location	1805 Commons Cir Ste 100b, Yukon, Oklahoma
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Shawn G Wallace graduated from medical school in 1991

NPI Data:

NPI Number: 1457323396
Provider Enumeration Date: 02/05/2006
Last Update Date: 11/17/2025

Medicare PECOS Information:

PECOS PAC ID: 9032252374
Enrollment ID: I20100407000304

Medical Identifiers

Medical identifiers for Dr Shawn G Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457323396	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT1769 (Oklahoma)	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. Dr Shawn G Wallace allows following entities to bill medicare on his behalf.

Provider Name	Choctaw Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1093938383 PECOS PAC ID: 6305989641 Enrollment ID: O20100208000841

Provider Name	Cutting Edge Physical Therapy, Pllc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1508272006 PECOS PAC ID: 9537380837 Enrollment ID: O20141030002169

Provider Name	Synergy Manual Therapy Solutions Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1467289868 PECOS PAC ID: 4385168798 Enrollment ID: O20250407003661

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. Dr Shawn G 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
Dr Shawn G Wallace, PT, DPT 1805 Commons Cir Ste 100b, Yukon, OK 73099-9519 Ph: (405) 467-4086	Dr Shawn G Wallace, PT, DPT 1805 Commons Cir Ste 100b, Yukon, OK 73099-9519 Ph: (405) 467-4086

Reviews and Comments

Physical Therapist in Yukon, OK

Miss Emily Michelle Worsham, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1824 Commons Cir Ste B, Yukon, OK 73099 Phone: 405-467-6782 Fax: 405-467-6100
Mackenzie Stack, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2121 S Yukon Pkwy Ste 200, Yukon, OK 73099 Phone: 405-578-5447 Fax: 866-490-4693
Piper Laurel Crossland, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2121 S Yukon Pkwy Ste 200, Yukon, OK 73099 Phone: 405-578-5447 Fax: 866-490-4693
Jacob Mullen, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17 Ivory Dr, Yukon, OK 73099 Phone: 972-259-0606
Elizabeth Anne Younger, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 800 Garth Brooks Blvd, Yukon, OK 73099 Phone: 405-350-3336
Valir Outpatient Clinic #2 Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1115 Garth Brooks Blvd, Yukon, OK 73099 Phone: 405-354-6698 Fax: 405-354-6609
Counterbalance Incorporated Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11216 Nw Expressway, Yukon, OK 73099 Phone: 405-373-3122 Fax: 405-373-3443

Dr Shawn G Wallace, PT, DPT - Medicare Physical Therapist in Yukon, OK