Dr Kelly Wallis, DC - Medicare Chiropractor in Fort Myers, FL

Dr Kelly Wallis, DC is a medicare enrolled "Chiropractor" provider in Fort Myers, Florida. She graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Chiropractic. Her current practice location is 6309 Corporate Ct, Ste. 110, Fort Myers, Florida. You can reach out to her office (for appointments etc.) via phone at (239) 433-1011.

Dr Kelly Wallis is licensed to practice in Florida (license number CH10990) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1952724395.

Contact Information

Dr Kelly Wallis, DC
6309 Corporate Ct, Ste. 110,
Fort Myers, FL 33919-3538
(239) 433-1011
(239) 433-3737

Map and Direction




Healthcare Provider's Profile

Full NameDr Kelly Wallis
GenderFemale
SpecialityChiropractic
Experience11 Years
Location6309 Corporate Ct, Fort Myers, Florida
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kelly Wallis graduated from medical school in 2013
  NPI Data:
  • NPI Number: 1952724395
  • Provider Enumeration Date: 01/21/2014
  • Last Update Date: 01/21/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 6507181898
  • Enrollment ID: I20150209000480

Medical Identifiers

Medical identifiers for Dr Kelly Wallis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952724395NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor CH10990 (Florida)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. Dr Kelly Wallis allows following entities to bill medicare on her behalf.
Provider NameWallis Chiropractic Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1962890533
PECOS PAC ID: 3971828260
Enrollment ID: O20150209000409

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. Dr Kelly Wallis 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 AddressPractice Location Address
Dr Kelly Wallis, DC
6309 Corporate Ct, Ste. 110,
Fort Myers, FL 33919-3538

Ph: (239) 433-1011
Dr Kelly Wallis, DC
6309 Corporate Ct, Ste. 110,
Fort Myers, FL 33919-3538

Ph: (239) 433-1011

Reviews and Comments


Chiropractor in Fort Myers, FL

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Phone: 239-489-4100    Fax: 239-489-1314
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Dr. Linda D Stevens, DC
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Medicare: Accepting Medicare Assignments
Practice Location: 12951 Metro Pkwy Ste 5, Fort Myers, FL 33912
Phone: 239-489-4100    Fax: 239-489-1314
Kristian Roman, DR OF CHIROPRACTIC
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Phone: 239-202-0999    Fax: 239-237-9073
Alan Bruce Dautch, Pa
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Practice Location: 8595 College Pkwy, #110, Fort Myers, FL 33919
Phone: 561-988-1022    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.