Mr Edwin Rush Wallace Iii, MPT in Plainsboro, NJ - Medicare Physical Therapist Provider

Mr Edwin Rush Wallace Iii, MPT is a medicare enrolled "Physical Therapist" provider in Plainsboro, New Jersey. His current practice location is 100 Plainsboro Rd, Plainsboro, New Jersey. You can reach out to his office (for appointments etc.) via phone at (571) 370-3686.

Mr Edwin Rush Wallace Iii is licensed to practice in New Jersey (license number CP031482T) 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 1790968154.

Contact Information

	Mr Edwin Rush Wallace Iii, MPT
	100 Plainsboro Rd, Plainsboro, NJ 08536-1914
	(571) 370-3686
	(571) 370-3687

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Edwin Rush Wallace Iii
Gender	Male
Speciality	Physical Therapist
Location	100 Plainsboro Rd, Plainsboro, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790968154
Provider Enumeration Date: 12/07/2007
Last Update Date: 10/31/2024

Medicare PECOS Information:

PECOS PAC ID: 2769556166
Enrollment ID: I20080804000030

Medical Identifiers

Medical identifiers for Mr Edwin Rush Wallace Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790968154	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	CP031482T (New Jersey)	Primary
225100000X	Physical Therapist	2305005465 (Virginia)	Secondary

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. Mr Edwin Rush Wallace Iii allows following entities to bill medicare on his behalf.

Provider Name	Jackson Clinics Limited Partnership
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1639594831 PECOS PAC ID: 2860623295 Enrollment ID: O20140423000896

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. Mr Edwin Rush Wallace Iii 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
Mr Edwin Rush Wallace Iii, MPT 100 Plainsboro Rd, Plainsboro, NJ 08536-1914 Ph: (609) 945-5724	Mr Edwin Rush Wallace Iii, MPT 100 Plainsboro Rd, Plainsboro, NJ 08536-1914 Ph: (571) 370-3686

Reviews and Comments

Physical Therapist in Plainsboro, NJ

Katherine Marimat Yaiser, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4209 Hunters Glen Dr, Plainsboro, NJ 08536 Phone: 609-212-3519
Tarra Miller, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1110 Ravens Crest Dr E, Plainsboro, NJ 08536 Phone: 800-950-6066
Mrs. Lee-yen Shu, PHYSICIAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 408 Plainsboro Road, Plainsboro, NJ 08536 Phone: 732-822-9293 Fax: 609-750-1650
Michele Catherine Connolly, MHS,PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 666 Plainsboro Rd, Suite 240, Plainsboro, NJ 08536 Phone: 609-275-0666 Fax: 609-275-8004
Miyo Siobhan Barossi, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 666 Plainsboro Rd Ste 2000c, Plainsboro, NJ 08536 Phone: 844-234-8387
Daniel Mark Smires, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5 Plainsboro Rd., Suite 100, Plainsboro, NJ 08536 Phone: 609-454-3748 Fax: 609-454-3764
Ms. Eileen O'brien Chunko, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 33 Parker Rd, Plainsboro, NJ 08536 Phone: 609-275-4482 Fax: 609-275-8081

Mr Edwin Rush Wallace Iii, MPT - Medicare Physical Therapist in Plainsboro, NJ