Christopher George Wallace, OTR/L in Philadelphia, PA - Medicare Occupational Therapist Provider

Christopher George Wallace, OTR/L is a medicare enrolled "Occupational Therapist" provider in Philadelphia, Pennsylvania. His current practice location is 6595 Roosevelt Blvd, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 743-2332.

Christopher George Wallace is licensed to practice in Pennsylvania (license number OC017968) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1629746904.

Contact Information

	Christopher George Wallace, OTR/L
	6595 Roosevelt Blvd, Philadelphia, PA 19149-2998
	(215) 743-2332
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Christopher George Wallace
Gender	Male
Speciality	Occupational Therapist
Location	6595 Roosevelt Blvd, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629746904
Provider Enumeration Date: 09/01/2021
Last Update Date: 09/01/2021

Medicare PECOS Information:

PECOS PAC ID: 1254725583
Enrollment ID: I20220302000085

Medical Identifiers

Medical identifiers for Christopher George Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629746904	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	OC017968 (Pennsylvania)	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. Christopher George Wallace allows following entities to bill medicare on his behalf.

Provider Name	Rehabclinics Spt Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1255330148 PECOS PAC ID: 7113834102 Enrollment ID: O20180117000032

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. Christopher George 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
Christopher George Wallace, OTR/L 305 Haines Dr, North Wales, PA 19454-2702 Ph: (215) 360-9314	Christopher George Wallace, OTR/L 6595 Roosevelt Blvd, Philadelphia, PA 19149-2998 Ph: (215) 743-2332

Reviews and Comments

Occupational Therapist in Philadelphia, PA

June Terrell, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 719 E Phil Ellena St, Philadelphia, PA 19119 Phone: 215-429-8002 Fax: 267-297-7337
Shalyn Eakin, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4040 Market St, Philadelphia, PA 19104 Phone: 814-440-7892
Veronique Broussard, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 632 W Naomi St, Philadelphia, PA 19144 Phone: 267-245-2601
Evan Kirby, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6595b Roosevelt Blvd, Philadelphia, PA 19149 Phone: 215-743-2332
Ms. Sarah E Kauper, MS, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1832 Catharine St, Philadelphia, PA 19146 Phone: 248-408-0741
St Christophers Pediatric Associates Occupational Therapy E Erie Avenu Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 160 E Erie Ave, Philadelphia, PA 19134 Phone: 215-427-5494
Mrs. Delaina D Tran, OTR/L, MOT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3900 Woodland Ave, Philadelphia, PA 19104 Phone: 215-878-5600

Christopher George Wallace, OTR/L - Medicare Occupational Therapist in Philadelphia, PA