Wally Jean, MD is a medicare enrolled "General Practice" physician in Poplar, Montana. He graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as General Practice. He is a member of the group practice Mescalero Indian Hospital and his current practice location is
107 H St W, Poplar, Montana. You can reach out to his office (for appointments etc.) via phone at
(406) 768-3491.
Wally Jean is licensed to practice in Puerto Rico (license number 19005) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1346654167.
Physician's Profile
Full Name | Wally Jean |
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Gender | Male |
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Speciality | General Practice |
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Experience | 13 Years |
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Location | 107 H St W, Poplar, Montana |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Wally Jean graduated from medical school in 2011
NPI Data:
- NPI Number: 1346654167
- Provider Enumeration Date: 06/19/2014
- Last Update Date: 12/31/2015
Medicare PECOS Information:
- PECOS PAC ID: 4688982721
- Enrollment ID: I20151009000241
Medical Identifiers
Medical identifiers for Wally Jean such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1346654167 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 19005 (Puerto Rico) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Mescalero Indian Hospital | 9436056181 | 8 |
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. Wally Jean allows following entities to bill medicare on his behalf.
Entity Name | Us Health Dept Of Health & Human Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1972694602 PECOS PAC ID: 9638081623 Enrollment ID: O20031106000399 |
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Entity Name | Mescalero Indian Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1891886065 PECOS PAC ID: 9436056181 Enrollment ID: O20031218000996 |
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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. Wally Jean 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 |
Wally Jean, MD P.o. Box 1582, Poplar, MT 59255 Ph: () - | Wally Jean, MD 107 H St W, Poplar, MT 59255 Ph: (406) 768-3491 |
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