Jake Tyler Wallis, in Conway, AR - Medicare Physical Therapy Provider

Jake Tyler Wallis, is a medicare enrolled "Physical Therapist" provider in Conway, Arkansas. He graduated from medical school in 2016 and has 9 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Charton Physical Therapy Inc, River Valley Therapy And Sports Medicine Inc and his current practice location is 1630 Arden Ln, Conway, Arkansas. You can reach out to his office (for appointments etc.) via phone at (501) 477-2202.

Jake Tyler Wallis is licensed to practice in Arkansas (license number ) 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 1235682238.

Contact Information

	Jake Tyler Wallis,
	1630 Arden Ln, Conway, AR 72034-3543
	(501) 477-2202
	(501) 421-0543

Map and Direction

Healthcare Provider's Profile

Full Name	Jake Tyler Wallis
Gender	Male
Speciality	Physical Therapy
Experience	9 Years
Location	1630 Arden Ln, Conway, Arkansas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jake Tyler Wallis graduated from medical school in 2016

NPI Data:

NPI Number: 1235682238
Provider Enumeration Date: 07/27/2016
Last Update Date: 07/27/2016

Medicare PECOS Information:

PECOS PAC ID: 8921395450
Enrollment ID: I20160927000449

Medical Identifiers

Medical identifiers for Jake Tyler Wallis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235682238	NPI	-	NPPES

Medical Taxonomies and Licenses

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

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Charton Physical Therapy Inc	0446495592	4
River Valley Therapy And Sports Medicine Inc	1850294018	23

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. Jake Tyler Wallis allows following entities to bill medicare on his behalf.

Provider Name	River Valley Therapy & Sports Medicine Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1619925732 PECOS PAC ID: 1850294018 Enrollment ID: O20040127001051

Provider Name	Charton Physical Therapy Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1548514144 PECOS PAC ID: 0446495592 Enrollment ID: O20130321000107

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. Jake Tyler Wallis 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
Jake Tyler Wallis, 1630 Arden Ln, Conway, AR 72034-3543 Ph: (501) 477-2202	Jake Tyler Wallis, 1630 Arden Ln, Conway, AR 72034-3543 Ph: (501) 477-2202

Reviews and Comments

Physical Therapist in Conway, AR

Miller Edward Williams, PT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 2425 Dave Ward Dr Ste 103, Conway, AR 72034 Phone: 501-327-1730
Mr. Chris Alan Huselton, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1500 Museum Rd Ste 104, Conway, AR 72032 Phone: 501-329-3804 Fax: 501-329-0718
Mr. Tyson W Kymes, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 575 Club Ln, Conway, AR 72034 Phone: 501-329-5161 Fax: 501-329-5158
Tabatha Gunnels, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2740 College Avenue, Conway, AR 72034 Phone: 501-329-5459 Fax: 501-325-1378
Laura Ward, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2740 College Ave, Conway, AR 72034 Phone: 501-329-5459 Fax: 501-327-1738
Rachael Lee Cummins Owens, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1065 Clayton St Ste 9, Conway, AR 72032 Phone: 501-328-5878
Mrs. Kerri J Brinkley, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1065 Clayton St Ste 9, Conway, AR 72032 Phone: 501-328-5878

Jake Tyler Wallis, - Medicare Physical Therapist in Conway, AR