Alexandria Kluttz Wallace, OTD, OTR in Goldsboro, NC - Medicare Occupational Therapist Provider

Alexandria Kluttz Wallace, OTD, OTR is a medicare enrolled "Occupational Therapist" provider in Goldsboro, North Carolina. Her current practice location is 1506 Wayne Memorial Dr Ste F, Goldsboro, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 221-4082.

Alexandria Kluttz Wallace is licensed to practice in * (Not Available) (license number ) 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 1386424687.

Contact Information

	Alexandria Kluttz Wallace, OTD, OTR
	1506 Wayne Memorial Dr Ste F, Goldsboro, NC 27534-2202
	(919) 221-4082
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Alexandria Kluttz Wallace
Gender	Female
Speciality	Occupational Therapist
Location	1506 Wayne Memorial Dr Ste F, Goldsboro, 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: 1386424687
Provider Enumeration Date: 10/03/2023
Last Update Date: 10/03/2023

Medicare PECOS Information:

PECOS PAC ID: 8628424678
Enrollment ID: I20231026002437

Medical Identifiers

Medical identifiers for Alexandria Kluttz Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386424687	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	(* (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. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Alexandria Kluttz Wallace allows following entities to bill medicare on her behalf.

Provider Name	Advantage Ot Inc.
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1962717025 PECOS PAC ID: 4981841582 Enrollment ID: O20130517000317

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. Alexandria Kluttz 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
Alexandria Kluttz Wallace, OTD, OTR 201 Chandler Rd, Goldsboro, NC 27534-5501 Ph: (919) 221-4082	Alexandria Kluttz Wallace, OTD, OTR 1506 Wayne Memorial Dr Ste F, Goldsboro, NC 27534-2202 Ph: (919) 221-4082

Reviews and Comments

Occupational Therapist in Goldsboro, NC

Anna Pierce Dean, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1506 Wayne Memorial Dr Ste F, Goldsboro, NC 27534 Phone: 910-501-2002
Mrs. Marjorie Coy Pate, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 600 N Madison Ave, Goldsboro, NC 27530 Phone: 919-739-0047 Fax: 919-739-9041
Kathleen B Jones, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 380 Country Day Rd, Goldsboro, NC 27530 Phone: 919-580-1060
Mrs. Vanesha Carlton, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1305 Evergreen Ave, Goldsboro, NC 27530 Phone: 919-922-9295
Allie Lowell Miller, OTD, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1506 Wayne Memorial Dr Ste D, Goldsboro, NC 27534 Phone: 910-298-2331
Evangeline Leukhardt, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 106 Hounds Run Dr, Goldsboro, NC 27530 Phone: 919-736-7753
Laura Mitchell, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2401 Wayne Memorial Dr, Goldsboro, NC 27534 Phone: 919-735-2121

Alexandria Kluttz Wallace, OTD, OTR - Medicare Occupational Therapist in Goldsboro, NC