Amy Ann Wallace, OTR-L in South Lake Tahoe, CA - Medicare Occupational Therapist Provider

Amy Ann Wallace, OTR-L is a medicare enrolled "Occupational Therapist" provider in South Lake Tahoe, California. Her current practice location is 10539 Professional Cir, Suite 201, South Lake Tahoe, California. You can reach out to her office (for appointments etc.) via phone at (775) 348-8800.

Amy Ann Wallace is licensed to practice in Nevada (license number 0721) 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 1467517466.

Contact Information

	Amy Ann Wallace, OTR-L
	10539 Professional Cir, Suite 201, South Lake Tahoe, CA 96150-3828
	(775) 348-8800
	(833) 687-1419

Map and Direction

Healthcare Provider's Profile

Full Name	Amy Ann Wallace
Gender	Female
Speciality	Occupational Therapist
Location	10539 Professional Cir, South Lake Tahoe, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467517466
Provider Enumeration Date: 12/27/2006
Last Update Date: 07/24/2023

Medicare PECOS Information:

PECOS PAC ID: 5799020871
Enrollment ID: I20181218001251

Medical Identifiers

Medical identifiers for Amy Ann Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467517466	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	3665 (California)	Secondary
225X00000X	Occupational Therapist	0721 (Nevada)	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. Amy Ann Wallace allows following entities to bill medicare on her behalf.

Provider Name	James J Lynch M D Ltd
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1285649608 PECOS PAC ID: 9133188626 Enrollment ID: O20041008001262

Provider Name	Nevada Hand Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1457638157 PECOS PAC ID: 9739355967 Enrollment ID: O20120110000200

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. Amy Ann 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
Amy Ann Wallace, OTR-L Po Box 9578, South Lake Tahoe, CA 96158 Ph: (530) 543-5896	Amy Ann Wallace, OTR-L 10539 Professional Cir, Suite 201, South Lake Tahoe, CA 96150-3828 Ph: (775) 348-8800

Reviews and Comments

Occupational Therapist in South Lake Tahoe, CA

Angela Kay Fluitt, OTR/L, CHT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5896 Fax: 530-544-6512
Jill Parmele, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5896 Fax: 530-544-6512
Jana R Mortellaro, MS, OTR-L, CHT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5896 Fax: 530-544-6512
Joseph Deanovich, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5896 Fax: 530-544-6512
Brittainy Hyslop, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5896 Fax: 530-544-6512
Hillary Dembroff, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1360 Johnson Blvd, Suite 103, South Lake Tahoe, CA 96150 Phone: 530-543-2313

Amy Ann Wallace, OTR-L - Medicare Occupational Therapist in South Lake Tahoe, CA