Ellis B Wall, in Mooresville, NC - Medicare Physical Therapy Provider

Ellis B Wall, is a medicare enrolled "Physical Therapist" provider in Mooresville, North Carolina. She graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Fox Rehabilitation Services Of South Carolina, Llc and her current practice location is 136 Corporate Park Dr, Mooresville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 449-7954.

Ellis B Wall is licensed to practice in North Carolina (license number P19348) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1578189270.

Contact Information

	Ellis B Wall,
	136 Corporate Park Dr, Mooresville, NC 28117-6959
	(919) 449-7954
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ellis B Wall
Gender	Female
Speciality	Physical Therapy
Experience	5 Years
Location	136 Corporate Park Dr, Mooresville, North Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ellis B Wall graduated from medical school in 2019

NPI Data:

NPI Number: 1578189270
Provider Enumeration Date: 06/19/2020
Last Update Date: 06/19/2020

Medicare PECOS Information:

PECOS PAC ID: 6507284247
Enrollment ID: I20220210001474

Medical Identifiers

Medical identifiers for Ellis B Wall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578189270	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	P19348 (North Carolina)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Fox Rehabilitation Services Of South Carolina, Llc	3971639998	207

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. Ellis B Wall allows following entities to bill medicare on her behalf.

Provider Name	Fox Rehabilitation Services Of South Carolina, Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1902133689 PECOS PAC ID: 3971639998 Enrollment ID: O20100330000294

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. Ellis B 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
Ellis B Wall, 13545 Kintyre Ct, Matthews, NC 28105-3032 Ph: (919) 449-7954	Ellis B Wall, 136 Corporate Park Dr, Mooresville, NC 28117-6959 Ph: (919) 449-7954

Reviews and Comments

Physical Therapist in Mooresville, NC

Justin M Pretzel, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 146 Mooresville Commons Way Ste 5e, Mooresville, NC 28117 Phone: 980-444-0906 Fax: 980-444-6812
Tawny J Chamberlain, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 550 Glenwood Dr, Mooresville, NC 28115 Phone: 704-664-7494
Constance A Andrews, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 140 Carriage Club Dr, Mooresville, NC 28117 Phone: 704-658-1200 Fax: 704-662-8509
Laina Touchberry, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 134 Infield Ct, Mooresville, NC 28117 Phone: 704-799-6824 Fax: 704-799-6825
David Scott Pfeufer, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 363 Williamson Rd, Suite 101, Mooresville, NC 28117 Phone: 704-660-7070 Fax: 704-664-5575
Antonia Shoemaker, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 N Church St Ste 110, Mooresville, NC 28115 Phone: 704-909-7808
Elisabeth Lincoln, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 125 Commerce Park Rd Ste 105, Mooresville, NC 28117 Phone: 704-799-2873

Ellis B Wall, - Medicare Physical Therapist in Mooresville, NC