Mr Daniel Wallace List, MSPT is a medicare enrolled "Physical Therapist" provider in N. Chestfield, Virginia. He graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Physical Therapy. His current practice location is
9017 Forest Hill Ave Suite 2b, James River Physical Therapy, N. Chestfield, Virginia. You can reach out to his office (for appointments etc.) via phone at
(804) 330-0936.
Mr Daniel Wallace List is licensed to practice in Virginia (license number 2305202065) 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 1750387809.
Healthcare Provider's Profile
| Full Name | Mr Daniel Wallace List |
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| Gender | Male |
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| Speciality | Physical Therapy |
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| Experience | 25 Years |
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| Location | 9017 Forest Hill Ave Suite 2b, N. Chestfield, Virginia |
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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. |
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Medical Education and Training:
- Mr Daniel Wallace List graduated from medical school in 1999
NPI Data:
- NPI Number: 1750387809
- Provider Enumeration Date: 06/23/2005
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 2163414053
- Enrollment ID: I20040331001363
Medical Identifiers
Medical identifiers for Mr Daniel Wallace List such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750387809 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 2305202065 (Virginia) | 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. Mr Daniel Wallace List allows following entities to bill medicare on his behalf.
| Provider Name | James River Physical Therapy Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1568491744
PECOS PAC ID: 8527075340
Enrollment ID: O20060320000103 |
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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. Mr Daniel Wallace List 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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Mr Daniel Wallace List, MSPT
9017 Forest Hill Ave Suite 2b, James River Physical Therapy,
N. Chesterfield, VA 23235
Ph: (804) 330-0936 | Mr Daniel Wallace List, MSPT
9017 Forest Hill Ave Suite 2b, James River Physical Therapy,
N. Chestfield, VA 23235
Ph: (804) 330-0936 |
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