Logan Wallace, in Ankeny, IA - Medicare Physical Therapist Provider

Logan Wallace, is a medicare enrolled "Physical Therapist" provider in Ankeny, Iowa. Her current practice location is 715 Sw Ankeny Rd, Ankeny, Iowa. You can reach out to her office (for appointments etc.) via phone at (870) 307-8900.

Logan Wallace is licensed to practice in Iowa (license number 110010) 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 1720798325.

Contact Information

	Logan Wallace,
	715 Sw Ankeny Rd, Ankeny, IA 50023-9798
	(870) 307-8900
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Logan Wallace
Gender	Female
Speciality	Physical Therapist
Location	715 Sw Ankeny Rd, Ankeny, Iowa
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720798325
Provider Enumeration Date: 12/05/2022
Last Update Date: 12/05/2022

Medicare PECOS Information:

PECOS PAC ID: 2264870518
Enrollment ID: I20240404003318

Medical Identifiers

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

Identifier	Type	State	Issuer
1720798325	NPI	-	NPPES
236	Medicaid	DC
568946544	Other		BCBS
5874	Other		HEALTH PARTNERS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	110010 (Iowa)	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. Logan Wallace allows following entities to bill medicare on her behalf.

Provider Name	Trilogy Physical Therapy, Pllc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1043883564 PECOS PAC ID: 5294139838 Enrollment ID: O20210804002741

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. Logan 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
Logan Wallace, 208 Todd Cir, Ames, IA 50014-7731 Ph: (870) 307-8900	Logan Wallace, 715 Sw Ankeny Rd, Ankeny, IA 50023-9798 Ph: (870) 307-8900

Reviews and Comments

Physical Therapist in Ankeny, IA

Peggy Jo Roling, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 301 Ne Trilein Dr, Suite 4, Ankeny, IA 50021 Phone: 515-965-7682
Mrs. Leslie Ann Cutler, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 710 E 1st St, Ankeny, IA 50021 Phone: 515-224-4358
Elizabeth Schliep, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2455 Sw State St, Ankeny, IA 50023 Phone: 515-963-4528
Daniel M Halfman, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2525 N Ankeny Blvd, Ste. 101, Ankeny, IA 50023 Phone: 515-965-4594 Fax: 515-965-4448
Jillian Stensland, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 715 Sw Ankeny Rd, Ankeny, IA 50023 Phone: 515-289-9600 Fax: 515-965-1186
Cody Michael Kramer, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1450 Sw Vintage Pkwy, Ankeny, IA 50023 Phone: 515-416-8600 Fax: 515-416-8601
Michelle Herbst, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1555 Se Delaware Ave, Suite M, Ankeny, IA 50021 Phone: 515-963-8723 Fax: 515-963-8755

Logan Wallace, - Medicare Physical Therapist in Ankeny, IA