Dr Tiffany Dawn Wallace, DPT in Lake Mary, FL - Medicare Physical Therapist Provider

Dr Tiffany Dawn Wallace, DPT is a medicare enrolled "Physical Therapist - Orthopedic" provider in Lake Mary, Florida. Her current practice location is 701 Platinum Pt, Lake Mary, Florida. You can reach out to her office (for appointments etc.) via phone at (407) 206-4500.

Dr Tiffany Dawn Wallace is licensed to practice in Florida (license number PT24764) 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 1689802662.

Contact Information

	Dr Tiffany Dawn Wallace, DPT
	701 Platinum Pt, Lake Mary, FL 32746-4871
	(407) 206-4500
	(407) 643-2802

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Tiffany Dawn Wallace
Gender	Female
Speciality	Physical Therapist - Orthopedic
Location	701 Platinum Pt, Lake Mary, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689802662
Provider Enumeration Date: 06/29/2009
Last Update Date: 04/12/2022

Medicare PECOS Information:

PECOS PAC ID: 3173910759
Enrollment ID: I20220429000077

Medical Identifiers

Medical identifiers for Dr Tiffany Dawn Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689802662	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	24764 (Florida)	Secondary
2251X0800X	Physical Therapist - Orthopedic	PT24764 (Florida)	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. Dr Tiffany Dawn Wallace allows following entities to bill medicare on her behalf.

Provider Name	Orlando Health Medical Group Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1669429577 PECOS PAC ID: 9537059084 Enrollment ID: O20040318000044

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 Tiffany Dawn 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 Tiffany Dawn Wallace, DPT 701 Platinum Pt, Lake Mary, FL 32746-4871 Ph: (407) 206-4500	Dr Tiffany Dawn Wallace, DPT 701 Platinum Pt, Lake Mary, FL 32746-4871 Ph: (407) 206-4500

Reviews and Comments

Physical Therapist in Lake Mary, FL

Kelsie Church, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 701 Platinum Pt, Lake Mary, FL 32746 Phone: 407-338-3161
Dr. Katherine Ruth Nedved, PT, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 339 Via Tuscany Loop, Lake Mary, FL 32746 Phone: 407-688-2210
Miss Linda Mary Ferran, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 929 Beresford Way, Lake Mary, FL 32746 Phone: 407-321-4582 Fax: 407-328-7628
Benjamin Gregory Cuenin, Physical Therapist Medicare: Medicare Enrolled Practice Location: 400 International Pkwy, Suite 300, Lake Mary, FL 32746 Phone: 866-946-3718
Dr. Ryan Parco, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 International Pkwy, Suite 300, Lake Mary, FL 32746 Phone: 407-833-8815
Serlah Dadine Puza, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 710 N Sun Dr, Lake Mary, FL 32746 Phone: 407-805-3131
Dr. Janice Kathryn Plaisir, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 250 International Pkwy, Suite 260, Lake Mary, FL 32746 Phone: 800-719-6987 Fax: 800-719-7031

Dr Tiffany Dawn Wallace, DPT - Medicare Physical Therapist in Lake Mary, FL