Dr Shawn G Wallace, PT, DPT in Choctaw, OK - Medicare Physical Therapy Provider

Dr Shawn G Wallace, PT, DPT is a medicare enrolled "Physical Therapist" provider in Choctaw, Oklahoma. He graduated from medical school in 1991 and has 33 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Choctaw Physical Therapy Llc, Cutting Edge Physical Therapy, Pllc and his current practice location is 13390 Ne 23rd St, Choctaw, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (405) 769-5555.

Dr Shawn G Wallace is licensed to practice in Oklahoma (license number PT1769) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1457323396.

Contact Information

	Dr Shawn G Wallace, PT, DPT
	13390 Ne 23rd St, Choctaw, OK 73020-8622
	(405) 769-5555
	(405) 769-5558

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Shawn G Wallace
Gender	Male
Speciality	Physical Therapy
Experience	33 Years
Location	13390 Ne 23rd St, Choctaw, Oklahoma
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Shawn G Wallace graduated from medical school in 1991

NPI Data:

NPI Number: 1457323396
Provider Enumeration Date: 02/05/2006
Last Update Date: 09/08/2020

Medicare PECOS Information:

PECOS PAC ID: 9032252374
Enrollment ID: I20100407000304

Medical Identifiers

Medical identifiers for Dr Shawn G Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457323396	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT1769 (Oklahoma)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Choctaw Physical Therapy Llc	6305989641	2
Cutting Edge Physical Therapy, Pllc	9537380837	2

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. Dr Shawn G Wallace allows following entities to bill medicare on his behalf.

Provider Name	Choctaw Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1093938383 PECOS PAC ID: 6305989641 Enrollment ID: O20100208000841

Provider Name	Cutting Edge Physical Therapy, Pllc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1508272006 PECOS PAC ID: 9537380837 Enrollment ID: O20141030002169

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. Dr Shawn G 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
Dr Shawn G Wallace, PT, DPT 13390 Ne 23rd St, Choctaw, OK 73020-8622 Ph: (405) 769-5555	Dr Shawn G Wallace, PT, DPT 13390 Ne 23rd St, Choctaw, OK 73020-8622 Ph: (405) 769-5555

Reviews and Comments

Physical Therapist in Choctaw, OK

Cathy Lynan Trout, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 818 Silver Tree Dr, Choctaw, OK 73020 Phone: 907-355-0602
Jeffrey Michael Hogan, PT, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14890 Se 29th St, Choctaw, OK 73020 Phone: 405-390-1731 Fax: 405-390-1981
Kayla Volk, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 14890 Se 29th St Ste 101, Choctaw, OK 73020 Phone: 405-390-1731
Home Therapy Services Pllc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12109 Se 29th St, Choctaw, OK 73020 Phone: 405-990-1025 Fax: 405-455-3717
Kelly Wallace, RPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 13390 Ne 23rd St, Choctaw, OK 73020 Phone: 405-769-5555 Fax: 405-769-5558
Choctaw-nicoma Park Schools Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12880 Ne 10th St, Choctaw, OK 73020 Phone: 405-769-8389 Fax: 405-769-9821
Oklahoma Physical Therapy Choctaw Physical Therapist Medicare: Medicare Enrolled Practice Location: 1960 Harper St, Suite B, Choctaw, OK 73020 Phone: 405-281-5785 Fax: 405-281-5786

Dr Shawn G Wallace, PT, DPT - Medicare Physical Therapist in Choctaw, OK