James Wall, is a medicare enrolled "Occupational Therapist" provider in Cornish, Maine. His current practice location is
16 Old Pike Rd, Cornish, Maine. You can reach out to his office (for appointments etc.) via phone at
(207) 625-4300.
James Wall is licensed to practice in Maine (license number OT4537) 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 1083167456.
Healthcare Provider's Profile
| Full Name | James Wall |
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| Gender | Male |
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| Speciality | Occupational Therapist |
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| Location | 16 Old Pike Rd, Cornish, Maine |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1083167456
- Provider Enumeration Date: 08/02/2016
- Last Update Date: 09/08/2023
Medicare PECOS Information:
- PECOS PAC ID: 0648624577
- Enrollment ID: I20230927000774
Medical Identifiers
Medical identifiers for James Wall such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1083167456 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225X00000X | Occupational Therapist | OT4537 (Maine) | 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. James Wall allows following entities to bill medicare on his behalf.
| Provider Name | Foothills Physical Therapy P.a. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1902906399
PECOS PAC ID: 4486686045
Enrollment ID: O20050902000432 |
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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. James Wall 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 |
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James Wall,
16 Old Pike Rd,
Cornish, ME 04020-3506
Ph: (207) 625-4300 | James Wall,
16 Old Pike Rd,
Cornish, ME 04020-3506
Ph: (207) 625-4300 |
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