Katie A Wallace, PT in Woburn, MA - Medicare Physical Therapist Provider

Katie A Wallace, PT is a medicare enrolled "Physical Therapist" provider in Woburn, Massachusetts. Her current practice location is 1 Arrow Dr, Woburn, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (781) 935-2655.

Katie A Wallace is licensed to practice in Massachusetts (license number 16906) 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 1417992538.

Contact Information

	Katie A Wallace, PT
	1 Arrow Dr, Woburn, MA 01801-2039
	(781) 935-2655
	(781) 935-9097

Map and Direction

Healthcare Provider's Profile

Full Name	Katie A Wallace
Gender	Female
Speciality	Physical Therapist
Location	1 Arrow Dr, Woburn, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417992538
Provider Enumeration Date: 06/20/2006
Last Update Date: 09/09/2022

Medicare PECOS Information:

PECOS PAC ID: 4789697277
Enrollment ID: I20060731000172

Medical Identifiers

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

Identifier	Type	State	Issuer
1417992538	NPI	-	NPPES
08Y008383NH09	Other	NH	ANTHEM
AA51239	Other	NH	HARVARD PILGRIM HEALTH
3779390	Other	NH	CIGNA
020481677	Medicaid	ME
101051400	Other	NH	US DEPT OF LABOR
26206	Other	NH	CIGNA
1297438	Other	NH	AETNA
098440	Other	ME	ANTHEN
30394394	Medicaid	NH
755459	Other	NH	TUFTS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	2972 (New Hampshire)	Secondary
225100000X	Physical Therapist	16906 (Massachusetts)	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. Katie A Wallace allows following entities to bill medicare on her behalf.

Provider Name	Mass General Brigham Medical Group, Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1083360200 PECOS PAC ID: 3971987108 Enrollment ID: O20220907001020

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. Katie A 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
Katie A Wallace, PT 5 Mercury Cir, Andover, MA 01810-2410 Ph: (603) 818-9528	Katie A Wallace, PT 1 Arrow Dr, Woburn, MA 01801-2039 Ph: (781) 935-2655

Reviews and Comments

Physical Therapist in Woburn, MA

Selina Fay, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 Tradecenter, Woburn, MA 01801 Phone: 781-937-9777
Scott E Havemeyer, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 150 Presidential Way, Suite 110, Woburn, MA 01801 Phone: 781-782-1300 Fax: 781-782-1350
Jeffrey Stalker, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 200 Unicorn Park Dr Ste 201, Woburn, MA 01801 Phone: 781-782-1300 Fax: 781-782-1350
Miss Lindsey Marie Wolfe, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 444 Washington St Ste 401, Woburn, MA 01801 Phone: 781-937-9777
Matthew Vargas, Physical Therapist Medicare: Medicare Enrolled Practice Location: 300 Trade Center, Woburn, MA 01801 Phone: 781-925-7643 Fax: 781-328-1569
Shannon Cormier, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 Tradecenter Ofc 5864, Woburn, MA 01801 Phone: 603-880-0448
Kimberly Sarnacki, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 W Cummings Park, Woburn, MA 01801 Phone: 781-933-8800

Katie A Wallace, PT - Medicare Physical Therapist in Woburn, MA