Mackenzie Wall, DPT in Smithfield, NC - Medicare Physical Therapist Provider

Mackenzie Wall, DPT is a medicare enrolled "Physical Therapist" provider in Smithfield, North Carolina. Her current practice location is 138 Magnolia Dr, Smithfield, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 989-6594.

Mackenzie Wall is licensed to practice in North Carolina (license number P21317) 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 1194454058.

Contact Information

	Mackenzie Wall, DPT
	138 Magnolia Dr, Smithfield, NC 27577-4758
	(919) 989-6594
	(919) 989-6532

Map and Direction

Healthcare Provider's Profile

Full Name	Mackenzie Wall
Gender	Female
Speciality	Physical Therapist
Location	138 Magnolia Dr, Smithfield, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194454058
Provider Enumeration Date: 06/07/2022
Last Update Date: 08/18/2025

Medicare PECOS Information:

PECOS PAC ID: 1052792082
Enrollment ID: I20220721001629

Medical Identifiers

Medical identifiers for Mackenzie Wall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194454058	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (Not Available))	Secondary
225100000X	Physical Therapist	P21317 (North Carolina)	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. Mackenzie Wall allows following entities to bill medicare on her behalf.

Provider Name	Advanced Physical Therapy Solutions Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1467405019 PECOS PAC ID: 8820068133 Enrollment ID: O20040726001160

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. Mackenzie Wall 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
Mackenzie Wall, DPT 138 Magnolia Dr, Smithfield, NC 27577-4758 Ph: (919) 989-6594	Mackenzie Wall, DPT 138 Magnolia Dr, Smithfield, NC 27577-4758 Ph: (919) 989-6594

Reviews and Comments

Physical Therapist in Smithfield, NC

Tanya Josephs, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 E Market St Ste 3b, Smithfield, NC 27577 Phone: 919-912-2030
Elizabeth Hudson, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 509 N Brightleaf Blvd, Smithfield, NC 27577 Phone: 919-938-7296 Fax: 919-938-7078
Mrs. Brandon Michelle Davis, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2320 Us 70 Business Hwy East, Smithfield, NC 27577 Phone: 919-934-6031
Ted Graham, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 540 North St, Smithfield, NC 27577 Phone: 919-934-1094 Fax: 919-313-1276
Matthew Ryan Mcdonald, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1317 N Brightleaf Blvd Ste A, Smithfield, NC 27577 Phone: 919-300-5040
Wanda Edwards Howell, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 514 N Brightleaf Blvd, Suite 1120, Smithfield, NC 27577 Phone: 919-938-7296 Fax: 919-938-7078

Mackenzie Wall, DPT - Medicare Physical Therapist in Smithfield, NC