Mr Patrick Wallace, PT in Havre De Grace, MD - Medicare Physical Therapy Provider

Mr Patrick Wallace, PT is a medicare enrolled "Physical Therapist" provider in Havre De Grace, Maryland. He graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Ati Holdings Llc and his current practice location is 2027 Pulaski Hwy, Havre De Grace, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 939-0520.

Mr Patrick Wallace is licensed to practice in Maryland (license number 24718) 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 1427294875.

Contact Information

	Mr Patrick Wallace, PT
	2027 Pulaski Hwy, Havre De Grace, MD 21078-2143
	(410) 939-0520
	(410) 939-5898

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Patrick Wallace
Gender	Male
Speciality	Physical Therapy
Experience	19 Years
Location	2027 Pulaski Hwy, Havre De Grace, Maryland
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 Patrick Wallace graduated from medical school in 2005

NPI Data:

NPI Number: 1427294875
Provider Enumeration Date: 01/06/2009
Last Update Date: 02/29/2024

Medicare PECOS Information:

PECOS PAC ID: 0446398630
Enrollment ID: I20170525000707

Medical Identifiers

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

Identifier	Type	State	Issuer
1427294875	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	030964-1 (New York)	Secondary
225100000X	Physical Therapist	8524 (Connecticut)	Secondary
225100000X	Physical Therapist	24718 (Maryland)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ati Holdings Llc	9537112719	366

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 Patrick Wallace allows following entities to bill medicare on his behalf.

Provider Name	Ati Holdings Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1396781050 PECOS PAC ID: 9537112719 Enrollment ID: O20061020000349

Provider Name	Ati Holdings Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1396781050 PECOS PAC ID: 9537112719 Enrollment ID: O20061023000321

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 Patrick 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 Patrick Wallace, PT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () -	Mr Patrick Wallace, PT 2027 Pulaski Hwy, Havre De Grace, MD 21078-2143 Ph: (410) 939-0520

Reviews and Comments

Physical Therapist in Havre De Grace, MD

Mrs. Kelly Fulp, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 701 Revolution St, Havre De Grace, MD 21078 Phone: 410-939-4334
Novacare Rehabilitation Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 910 Revolution St, Havre De Grace, MD 21078 Phone: 410-939-4334
Mr. Donovan Rochlitz Clifford, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2027 Pulaski Hwy, Ste 119, Havre De Grace, MD 21078 Phone: 410-939-0520
Morgan Day, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1501 Blenhiem Farm Ln, Havre De Grace, MD 21078 Phone: 410-939-9300
Mr. Rick Nelson Prothero, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 807a S Union Ave, Havre De Grace, MD 21078 Phone: 410-939-2262 Fax: 410-939-7119
Mrs. Cynthia Mathewson Olivacz, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 701 Revolution St, Havre De Grace, MD 21078 Phone: 410-939-4334 Fax: 410-939-0530
Dr. Eirika Deborah Abbey, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2027 Pulaski Hwy Ste 119, Havre De Grace, MD 21078 Phone: 443-502-2128 Fax: 443-502-2764

Mr Patrick Wallace, PT - Medicare Physical Therapist in Havre De Grace, MD