Wallace Physical Therapy Pc is a medicare enrolled "Clinic/center - Physical Therapy" provider in Tucson, Arizona. Their current practice location is
250 S Vozack Ln Ste C, Tucson, Arizona. You can reach out to their office (for appointments etc.) via phone at
(202) 785-2025.
Wallace Physical Therapy Pc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Wallace Physical Therapy Pc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1861423394.
Healthcare Provider's Profile
| Full Name | Wallace Physical Therapy Pc |
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| Type | Facility |
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| Speciality | Clinic/center - Physical Therapy |
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| Location | 250 S Vozack Ln Ste C, Tucson, Arizona |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1861423394
- Provider Enumeration Date: 07/05/2006
- Last Update Date: 05/27/2024
Medicare PECOS Information:
- PECOS PAC ID: 2466436464
- Enrollment ID: O20040616001359
Medical Identifiers
Medical identifiers for Wallace Physical Therapy Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1861423394 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Wallace Physical Therapy Pc acts as a billing entity for following providers:
| Provider Name | Kathleen Kirkland |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1467740977
PECOS PAC ID: 9830620103
Enrollment ID: I20240927002006 |
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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. Wallace Physical Therapy Pc 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 |
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Wallace Physical Therapy Pc
250 S Vozack Ln,
Tucson, AZ 85748-4539
Ph: (520) 278-5202 | Wallace Physical Therapy Pc
250 S Vozack Ln Ste C,
Tucson, AZ 85748-4539
Ph: (202) 785-2025 |
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