Logan Wallace, in Ames, IA - Medicare Physical Therapist Provider

Logan Wallace, is a medicare enrolled "Physical Therapist" provider in Ames, Iowa. Her current practice location is 1215 Duff Ave, Ames, Iowa. You can reach out to her office (for appointments etc.) via phone at (515) 956-4095.

Logan Wallace is licensed to practice in Iowa (license number 110010) 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 1720798325.

Contact Information

	Logan Wallace,
	1215 Duff Ave, Ames, IA 50010-5469
	(515) 956-4095
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Logan Wallace
Gender	Female
Speciality	Physical Therapist
Location	1215 Duff Ave, Ames, Iowa
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720798325
Provider Enumeration Date: 12/05/2022
Last Update Date: 09/02/2025

Medicare PECOS Information:

PECOS PAC ID: 2264870518
Enrollment ID: I20240404003318

Medical Identifiers

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

Identifier	Type	State	Issuer
1720798325	NPI	-	NPPES
568946544	Other		BCBS
236	Medicaid	DC
5874	Other		HEALTH PARTNERS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	110010 (Iowa)	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. Logan Wallace allows following entities to bill medicare on her behalf.

Provider Name	Trilogy Physical Therapy, Pllc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1043883564 PECOS PAC ID: 5294139838 Enrollment ID: O20210804002741

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. Logan 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
Logan Wallace, 1215 Duff Ave, Ames, IA 50010-5469 Ph: (515) 239-4400	Logan Wallace, 1215 Duff Ave, Ames, IA 50010-5469 Ph: (515) 956-4095

Reviews and Comments

Physical Therapist in Ames, IA

Barb J Wheelock, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3600 Lincoln Way, Ames, IA 50014 Phone: 515-663-4824 Fax: 515-663-4860
Troy Michael Mcdonough, M.S.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1215 Duff Ave, Ames, IA 50010 Phone: 515-956-4095 Fax: 515-956-4093
Brian O'tool, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1215 Duff Ave, Ames, IA 50010 Phone: 515-956-4095
Jacob B Moore, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2707 Stange Road Suite 102, Mcfarland Clinic Pc, Ames, IA 50010 Phone: 515-956-4014 Fax: 515-292-7200
Shelby Randolph, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3600 Lincoln Way, Ames, IA 50014 Phone: 515-663-4824
Robert Swartz, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3600 Lincoln Way, Ames, IA 50014 Phone: 515-663-4824 Fax: 515-663-4860
Mr. Trevor Baier, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2707 Stange Rd, Ames, IA 50010 Phone: 515-956-4016 Fax: 515-292-7200

Logan Wallace, - Medicare Physical Therapist in Ames, IA