Diana Wallace, in Richmond, VA - Medicare Physical Therapist Provider

Diana Wallace, is a medicare enrolled "Physical Therapist" provider in Richmond, Virginia. Her current practice location is 1800 Gaskins Rd, Richmond, Virginia. You can reach out to her office (for appointments etc.) via phone at (804) 998-3671.

Diana Wallace is licensed to practice in Virginia (license number 2305204230) 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 1891546727.

Contact Information

	Diana Wallace,
	1800 Gaskins Rd, Richmond, VA 23238-4324
	(804) 998-3671
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Diana Wallace
Gender	Female
Speciality	Physical Therapist
Location	1800 Gaskins Rd, Richmond, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891546727
Provider Enumeration Date: 03/28/2024
Last Update Date: 03/28/2024

Medicare PECOS Information:

PECOS PAC ID: 7911345830
Enrollment ID: I20240410002518

Medical Identifiers

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

Identifier	Type	State	Issuer
1891546727	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	2305204230 (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. Diana Wallace allows following entities to bill medicare on her behalf.

Provider Name	Virginia Luna Care Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1235720848 PECOS PAC ID: 0941615405 Enrollment ID: O20210215000240

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. Diana 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
Diana Wallace, 1800 Gaskins Rd, Richmond, VA 23238-4324 Ph: () -	Diana Wallace, 1800 Gaskins Rd, Richmond, VA 23238-4324 Ph: (804) 998-3671

Reviews and Comments

Physical Therapist in Richmond, VA

Aryn Carlson Ix, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1901 Westwood Ave, Richmond, VA 23227 Phone: 804-278-8977 Fax: 804-278-8977
Tidewater Physical Therapy, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4831 S Laburnum Ave, Richmond, VA 23231 Phone: 804-222-0746 Fax: 804-222-0728
Kathleen Wright, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3811 Fauquier Ave, Richmond, VA 23227 Phone: 804-261-5978
Meagan Cohen, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1700 Willow Lawn Dr Ste 230, Richmond, VA 23230 Phone: 804-340-1193
Dr. Laurel Hackett, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1201 Broad Rock Blvd, Richmond, VA 23249 Phone: 804-675-5000
Mr. Peter Vincent Catizone, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8906 W Broad St, Suite F, Richmond, VA 23294 Phone: 804-965-9990 Fax: 804-965-0997
Mrs. Shereeta Mclane, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4101 Nine Mile Rd, Richmond, VA 23223 Phone: 804-222-1694

Diana Wallace, - Medicare Physical Therapist in Richmond, VA