Serena A Wallace, DPT in Centralia, WA - Medicare Physical Therapist Provider

Serena A Wallace, DPT is a medicare enrolled "Physical Therapist" provider in Centralia, Washington. Her current practice location is 1118 View Ave, Centralia, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 736-5273.

Serena A Wallace is licensed to practice in Washington (license number PT61456638) 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 1194407668.

Contact Information

	Serena A Wallace, DPT
	1118 View Ave, Centralia, WA 98531-1870
	(360) 736-5273
	(360) 736-5053

Map and Direction

Healthcare Provider's Profile

Full Name	Serena A Wallace
Gender	Female
Speciality	Physical Therapist
Location	1118 View Ave, Centralia, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194407668
Provider Enumeration Date: 08/03/2023
Last Update Date: 08/03/2023

Medicare PECOS Information:

PECOS PAC ID: 1951763002
Enrollment ID: I20230822000838

Medical Identifiers

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

Identifier	Type	State	Issuer
1194407668	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT61456638 (Washington)	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. Serena A Wallace allows following entities to bill medicare on her behalf.

Provider Name	Centralia Physical Therapy Inc Ps
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1952666315 PECOS PAC ID: 0648429688 Enrollment ID: O20121005000577

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. Serena A 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
Serena A Wallace, DPT 1118 View Ave, Centralia, WA 98531-1870 Ph: (360) 736-5273	Serena A Wallace, DPT 1118 View Ave, Centralia, WA 98531-1870 Ph: (360) 736-5273

Reviews and Comments

Physical Therapist in Centralia, WA

Mr. Jason Allen Buono, PT, DPT, ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1118 View Ave, Centralia, WA 98531 Phone: 360-736-5273 Fax: 360-736-5053
Pt Northwest Of Longview, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1714 S Gold St, Centralia, WA 98531 Phone: 360-360-5532 Fax: 564-999-5722
Nancy Carol Jordan, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1809 Cooks Hill Rd, Centralia, WA 98531 Phone: 360-330-8844 Fax: 360-330-8623
Ms. Nancy Marie Emerick, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1900 Cooks Hill Rd, Centralia, WA 98531 Phone: 360-330-8627 Fax: 360-330-8786
Keith Erik Schmidt, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 914 S Scheuber Road, Providence Centralia Hospital, Centralia, WA 98532 Phone: 360-330-8720 Fax: 360-330-8737
Robert Prandi, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2700 Colonial Dr Apt 305, Centralia, WA 98531 Phone: 360-330-9346 Fax: 360-330-9347
Kenneth J Coombs, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1305 Alexander St, Centralia, WA 98531 Phone: 136-073-6408 Fax: 136-080-7214

Serena A Wallace, DPT - Medicare Physical Therapist in Centralia, WA