Mr Guy Robert Wallace, PT in Elizabethtown, KY - Medicare Physical Therapy Provider

Mr Guy Robert Wallace, PT is a medicare enrolled "Physical Therapist" provider in Elizabethtown, Kentucky. He went to University Of Louisville School Of Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Physical Therapy Associates, Inc and his current practice location is 1222 Woodland Dr, Elizabethtown, Kentucky. You can reach out to his office (for appointments etc.) via phone at (270) 234-1569.

Mr Guy Robert Wallace is licensed to practice in Kentucky (license number 002884) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1477605772.

Contact Information

	Mr Guy Robert Wallace, PT
	1222 Woodland Dr, Elizabethtown, KY 42701-2710
	(270) 234-1569
	(270) 234-0680

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Guy Robert Wallace
Gender	Male
Speciality	Physical Therapy
Experience	29 Years
Location	1222 Woodland Dr, Elizabethtown, Kentucky
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Guy Robert Wallace attended and graduated from University Of Louisville School Of Medicine in 1995

NPI Data:

NPI Number: 1477605772
Provider Enumeration Date: 01/17/2007
Last Update Date: 06/02/2008

Medicare PECOS Information:

PECOS PAC ID: 0547167942
Enrollment ID: I20041004000013

Medical Identifiers

Medical identifiers for Mr Guy Robert Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477605772	NPI	-	NPPES
000000176410	Other	KY	BLUE CROSS
87000048	Medicaid	KY
2439083000	Other	KY	PASSPORT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	002884 (Kentucky)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Physical Therapy Associates, Inc	4880591270	17

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 Guy Robert Wallace allows following entities to bill medicare on his behalf.

Provider Name	Physical Therapy Associates, Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1336246412 PECOS PAC ID: 4880591270 Enrollment ID: O20031215000469

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 Guy Robert 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
Mr Guy Robert Wallace, PT 403 N Miles St, Elizabethtown, KY 42701-1834 Ph: (270) 360-9129	Mr Guy Robert Wallace, PT 1222 Woodland Dr, Elizabethtown, KY 42701-2710 Ph: (270) 234-1569

Reviews and Comments

Physical Therapist in Elizabethtown, KY

Bailey Lynn Carmona, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1111 Ring Rd, Elizabethtown, KY 42701 Phone: 270-706-5010
Ian Craig Danis, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4031 N Dixie Hwy Ste 104, Elizabethtown, KY 42701 Phone: 270-982-4776 Fax: 270-982-4778
Lance T Croghan, PT, ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1222 Woodland Dr, Elizabethtown, KY 42701 Phone: 270-234-1569
Kimberly Ann Childers, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1222 Woodland Dr, Elizabethtown, KY 42701 Phone: 270-234-1569
Shelby Price, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 529 Westport Rd, Elizabethtown, KY 42701 Phone: 270-807-0316
Elizabeth Grace Sidebottom, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2624 Ring Rd Ste 101, Elizabethtown, KY 42701 Phone: 270-900-4052 Fax: 270-900-4054
Deric Parrish, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 708 Westport Rd, Suite 202, Elizabethtown, KY 42701 Phone: 270-765-4263

Mr Guy Robert Wallace, PT - Medicare Physical Therapist in Elizabethtown, KY