Lauralee Wallace, in Montague, CA - Medicare Physical Therapist In Private Practice Provider

Lauralee Wallace, is a medicare enrolled "Physical Therapist" provider in Montague, California. She went to University Of California, San Francisco School Of Medicine and graduated in 1994 and has 31 years of diverse experience with area of expertise as Physical Therapist In Private Practice. Her current practice location is 11239 Ball Mtn Little Shasta Rd, Montague, California. You can reach out to her office (for appointments etc.) via phone at (530) 340-1490.

Lauralee Wallace is licensed to practice in California (license number PT20432) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1326647447.

Contact Information

	Lauralee Wallace,
	11239 Ball Mtn Little Shasta Rd, Montague, CA 96064-9682
	(530) 340-1490
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Lauralee Wallace
Gender	Female
Speciality	Physical Therapist In Private Practice
Experience	31 Years
Location	11239 Ball Mtn Little Shasta Rd, Montague, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Lauralee Wallace attended and graduated from University Of California, San Francisco School Of Medicine in 1994

NPI Data:

NPI Number: 1326647447
Provider Enumeration Date: 10/20/2020
Last Update Date: 10/20/2020

Medicare PECOS Information:

PECOS PAC ID: 8921534173
Enrollment ID: I20250328000472

Medical Identifiers

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

Identifier	Type	State	Issuer
1326647447	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT20432 (California)	Primary

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. Lauralee 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
Lauralee Wallace, 11239 Ball Mtn Little Shasta Rd, Montague, CA 96064-9682 Ph: (530) 340-1490	Lauralee Wallace, 11239 Ball Mtn Little Shasta Rd, Montague, CA 96064-9682 Ph: (530) 340-1490

Lauralee Wallace, - Medicare Physical Therapist in Montague, CA