Serena A Wallace, DPT in San Bernardino, CA - Medicare Physical Therapist Provider

Serena A Wallace, DPT is a medicare enrolled "Physical Therapist" provider in San Bernardino, California. Her current practice location is 275 W Hospitality Ln Ste 100, San Bernardino, California. You can reach out to her office (for appointments etc.) via phone at (909) 567-2221.

Serena A Wallace is licensed to practice in Washington (license number PT61456638) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1194407668.

Contact Information

	Serena A Wallace, DPT
	275 W Hospitality Ln Ste 100, San Bernardino, CA 92408-3238
	(909) 567-2221
	(909) 763-3216

Map and Direction

Healthcare Provider's Profile

Full Name	Serena A Wallace
Gender	Female
Speciality	Physical Therapist
Location	275 W Hospitality Ln Ste 100, San Bernardino, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194407668
Provider Enumeration Date: 08/03/2023
Last Update Date: 08/19/2024

Medicare PECOS Information:

PECOS PAC ID: 1951763002
Enrollment ID: I20230822000838

Medical Identifiers

Medical identifiers for Serena A Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194407668	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT61456638 (Washington)	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. Serena A Wallace allows following entities to bill medicare on her behalf.

Provider Name	Centralia Physical Therapy Inc Ps
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1952666315 PECOS PAC ID: 0648429688 Enrollment ID: O20121005000577

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. Serena A 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
Serena A Wallace, DPT 206 W Olive Ave Apt 3, Redlands, CA 92373-8810 Ph: (206) 412-8460	Serena A Wallace, DPT 275 W Hospitality Ln Ste 100, San Bernardino, CA 92408-3238 Ph: (909) 567-2221

Reviews and Comments

Physical Therapist in San Bernardino, CA

Byeongju Cho, PT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1181 E Highland Ave Ste B, San Bernardino, CA 92404 Phone: 909-883-5069 Fax: 909-883-5473
Marie De Chaine, PTLA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 275 W Hospitality Ln Ste 100, San Bernardino, CA 92408 Phone: 909-567-2221 Fax: 909-763-3216
Ana Baeza, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1375 Camino Real Ste 130, San Bernardino, CA 92408 Phone: 909-884-1500
Grinal Doshi, Physical Therapist Medicare: Medicare Enrolled Practice Location: 275 W Hospitality Ln Ste 103, San Bernardino, CA 92408 Phone: 909-567-2221 Fax: 909-763-3216
Benjamin Johnson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2101 N Waterman Ave, San Bernardino, CA 92404 Phone: 916-612-6952
Dharmesh S Patel, PT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 2100 N Arrowhead Ave, San Bernardino, CA 92405 Phone: 909-882-9822 Fax: 909-882-1388
Dc Rehab Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 2545 Shady Glen Ln, San Bernardino, CA 92408 Phone: 909-831-4189

Serena A Wallace, DPT - Medicare Physical Therapist in San Bernardino, CA