Michael L Wallace, PT | |
2351 Indian Wells, Alamogordo, NM 88310-5012 | |
(575) 439-1397 | |
(575) 437-2622 |
Full Name | Michael L Wallace |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 28 Years |
Location | 2351 Indian Wells, Alamogordo, New Mexico |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578556312 | NPI | - | NPPES |
NM00Q164 | Other | NM | BLUE CROSS BLUE SHIELD |
65579844 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1953 (New Mexico) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Alamogordo Physical Therapy And Wellness Center, Inc | 8729998794 | 8 |
Provider Name | Alamogordo Physical Therapy & Wellness Center, Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1043225493 PECOS PAC ID: 8729998794 Enrollment ID: O20090416000052 |
Provider Name | Carlsbad Physical Therapy & Wellness Center Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1841205200 PECOS PAC ID: 6507836251 Enrollment ID: O20121011000580 |
Provider Name | Artesia Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1033124490 PECOS PAC ID: 3375625478 Enrollment ID: O20140905000396 |
Mailing Address | Practice Location Address |
---|---|
Michael L Wallace, PT Po Box 2860, Alamogordo, NM 88311-2860 Ph: (575) 439-1397 | Michael L Wallace, PT 2351 Indian Wells, Alamogordo, NM 88310-5012 Ph: (575) 439-1397 |
Chris Kotter, M.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2351 Indian Wells, Alamogordo, NM 88310 Phone: 575-439-1397 | |
Oliver C Nuique, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2351 Indian Wells Rd, Alamogordo, NM 88310 Phone: 575-437-3351 Fax: 575-437-2622 | |
Matthew Anthony Larkin, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2669 Scenic Dr, Alamogordo, NM 88310 Phone: 575-446-7532 | |
Alamogordo Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 2351 Indian Wells, Alamogordo, NM 88310 Phone: 575-439-1397 Fax: 575-437-2622 | |
Zachary Carr, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2351 Indian Wells Rd, Alamogordo, NM 88310 Phone: 575-437-3351 Fax: 575-437-2622 | |
Scott Nufer, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1011 10th St, A, Alamogordo, NM 88310 Phone: 575-439-9878 Fax: 575-439-9876 | |
Emily Pattillo, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2351 Indian Wells Rd, Alamogordo, NM 88310 Phone: 575-437-3351 |