Mr Jim F Wallace, PT in Bend, OR - Medicare Physical Therapist Provider

Mr Jim F Wallace, PT is a medicare enrolled "Physical Therapist" provider in Bend, Oregon. His current practice location is 404 Ne Penn Ave, Bend, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 318-7041.

Mr Jim F Wallace is licensed to practice in Oregon (license number 02948) 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 1194928481.

Contact Information

	Mr Jim F Wallace, PT
	404 Ne Penn Ave, Bend, OR 97701-4264
	(541) 318-7041
	(541) 388-3711

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Jim F Wallace
Gender	Male
Speciality	Physical Therapist
Location	404 Ne Penn Ave, Bend, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194928481
Provider Enumeration Date: 06/06/2007
Last Update Date: 12/29/2016

Medicare PECOS Information:

PECOS PAC ID: 2264733542
Enrollment ID: I20151209002777

Medical Identifiers

Medical identifiers for Mr Jim F Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194928481	NPI	-	NPPES
500694596	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251X0800X	Physical Therapist - Orthopedic	2948 (Oregon)	Secondary
225100000X	Physical Therapist	02948 (Oregon)	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. Mr Jim F Wallace allows following entities to bill medicare on his behalf.

Provider Name	Therapeutic Associates Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1972589364 PECOS PAC ID: 0042116279 Enrollment ID: O20040205000432

Provider Name	Hands On Physical Therapy, Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1912129073 PECOS PAC ID: 9537173034 Enrollment ID: O20060206000178

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 Jim F 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 Jim F Wallace, PT 16693 Gray Wolf Ln, Bend, OR 97707-2548 Ph: (503) 956-8141	Mr Jim F Wallace, PT 404 Ne Penn Ave, Bend, OR 97701-4264 Ph: (541) 318-7041

Reviews and Comments

Physical Therapist in Bend, OR

Alpine Physical Therapy & Spine Care Physical Therapist Medicare: Medicare Enrolled Practice Location: 336 Sw Cyber Dr, Suite 107, Bend, OR 97702 Phone: 541-382-5500 Fax: 541-389-5669
Matthew Joseph Kirchoff, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2200 Ne Neff Rd, Suite 202, Bend, OR 97701 Phone: 541-388-7738 Fax: 541-312-0121
Catherine Stone, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2366 Nw Lakeside Pl, Bend, OR 97701 Phone: 541-382-0479
Jaqueline L Campagna, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2500 Ne Neff Rd, Bend, OR 97701 Phone: 541-382-4321
Nikki Peirtsegaele, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2185 Nw Shevlin Park Rd, Bend, OR 97703 Phone: 541-728-0713
Craig Andrew Boswell, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 61615 Athletic Club Drive, Bend, OR 97702 Phone: 541-382-7890 Fax: 541-382-7498
Erik Zamboni, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1558 Sw Nancy Way, Suite 104, Bend, OR 97702 Phone: 541-312-2004

Mr Jim F Wallace, PT - Medicare Physical Therapist in Bend, OR