Mrs Alissa Nicole Wallace, PT is a
Physical Therapist based in Arcadia, Indiana. Mrs Alissa Nicole Wallace is licensed to practice in Indiana (license number 05006292A) and her current practice location is
25590 Cornell Rd, Arcadia, Indiana. She can be reached at her office (for appointments etc.) via phone at
(317) 697-5759.
NPI number for Mrs Alissa Nicole Wallace is 1144244179 and her current mailing address is 25590 Cornell Rd, Arcadia, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1144244179.
Healthcare Provider's Profile
Full Name | Mrs Alissa Nicole Wallace |
---|
Gender | Female |
---|
Speciality | Physical Therapist |
---|
Location | 25590 Cornell Rd, Arcadia, Indiana |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1144244179
- Provider Enumeration Date: 07/26/2006
- Last Update Date: 05/22/2008
Medical Identifiers
Medical identifiers for Mrs Alissa Nicole Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144244179 | NPI | - | NPPES |
200728190 | Medicaid | IN | |
200630040 | Medicaid | IN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 05006292A (Indiana) | Primary |
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. Mrs Alissa Nicole Wallace is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Alissa Nicole Wallace, PT 25590 Cornell Rd, Arcadia, IN 46030-9612 Ph: (317) 697-5759 | Mrs Alissa Nicole Wallace, PT 25590 Cornell Rd, Arcadia, IN 46030-9612 Ph: (317) 697-5759 |
Reviews and Comments