James Wall, is a medicare enrolled "Occupational Therapist" provider in Cornish, Maine. He graduated from medical school in 2023 and has 2 years of diverse experience with area of expertise as Occupational Therapist In Private Practice. He is a member of the group practice Foothills Physical Therapy P.a. and 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
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 1083167456.
Healthcare Provider's Profile
| Full Name | James Wall |
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| Gender | Male |
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| Speciality | Occupational Therapist In Private Practice |
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| Experience | 2 Years |
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| Location | 16 Old Pike Rd, Cornish, Maine |
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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:
- James Wall graduated from medical school in 2023
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 |
| 1083167456 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225X00000X | Occupational Therapist | OT4537 (Maine) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Foothills Physical Therapy P.a. | 4486686045 | 4 |
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 |
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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