Mark Waller, PT - Medicare Physical Therapist in Lehigh Acres, FL

Mark Waller, PT is a medicare enrolled "Physical Therapist" provider in Lehigh Acres, Florida. His current practice location is 11742 Eros Rd, Lehigh Acres, Florida. You can reach out to his office (for appointments etc.) via phone at (239) 671-8962.

Mark Waller is licensed to practice in Florida (license number 16250) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1801525381.

Contact Information

Mark Waller, PT
11742 Eros Rd,
Lehigh Acres, FL 33971-3759
(239) 671-8962
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMark Waller
GenderMale
SpecialityPhysical Therapist
Location11742 Eros Rd, Lehigh Acres, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1801525381
  • Provider Enumeration Date: 06/09/2022
  • Last Update Date: 06/09/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9032582689
  • Enrollment ID: I20230301000540

Medical Identifiers

Medical identifiers for Mark Waller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801525381NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 16250 (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. Mark Waller allows following entities to bill medicare on his behalf.
Provider NameLegacy Healthcare Services Inc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1336535988
PECOS PAC ID: 2163339722
Enrollment ID: O20150805009289

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. Mark Waller 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 AddressPractice Location Address
Mark Waller, PT
11742 Eros Rd,
Lehigh Acres, FL 33971-3759

Ph: (239) 671-8962
Mark Waller, PT
11742 Eros Rd,
Lehigh Acres, FL 33971-3759

Ph: (239) 671-8962

Reviews and Comments


Physical Therapist in Lehigh Acres, FL

Margarita Harris, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 4316 Lee Blvd, 12a & 12b, Lehigh Acres, FL 33971
Phone: 239-368-7744    Fax: 239-368-7824
Bopinder Singh,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1150 Lee Blvd Ste 3, Lehigh Acres, FL 33936
Phone: 239-369-3799    
Peter Armetta,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 4316 Lee Blvd Unit 12b, Lehigh Acres, FL 33971
Phone: 239-368-7744    Fax: 239-368-7824
Mrs. Emily Ann Kupper, PT, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 2724 5th St W Ste A, Lehigh Acres, FL 33971
Phone: 239-303-1501    Fax: 888-803-9101
Dr. Daniel Juan Alvarez,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 3507 Lee Blvd Ste 101, Lehigh Acres, FL 33971
Phone: 123-925-6326    
Katherine Anne Sellaroli, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 4316 Lee Blvd Unit 12b, Lehigh Acres, FL 33971
Phone: 239-368-7744    
James Moore,
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 4316 Lee Blvd, 12b, Lehigh Acres, FL 33971
Phone: 239-368-7744    Fax: 239-368-7824

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.