Shane Bradley Wall, PT - Medicare Physical Therapist in De Leon, TX

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Shane Bradley Wall, PT is a medicare enrolled "Physical Therapist" provider in De Leon, Texas. He graduated from medical school in 1997 and has 28 years of diverse experience with area of expertise as Physical Therapy. His current practice location is 400 S Houston St, De Leon, Texas. You can reach out to his office (for appointments etc.) via phone at (254) 893-2015.

Shane Bradley Wall is licensed to practice in Texas (license number 1125359) 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 1992287619.

Contact Information

Shane Bradley Wall, PT
400 S Houston St,
De Leon, TX 76444-1928
(254) 893-2015
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameShane Bradley Wall
GenderMale
SpecialityPhysical Therapy
Experience28 Years
Location400 S Houston St, De Leon, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shane Bradley Wall graduated from medical school in 1997
  NPI Data:
  • NPI Number: 1992287619
  • Provider Enumeration Date: 08/29/2018
  • Last Update Date: 09/04/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 7113326083
  • Enrollment ID: I20210526000048

Medical Identifiers

Medical identifiers for Shane Bradley Wall such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992287619NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 1125359 (Texas)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. Shane Bradley Wall allows following entities to bill medicare on his behalf.
Provider NameThomas L Reid Ptpc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1588978068
PECOS PAC ID: 1557537339
Enrollment ID: O20111228000356
Provider NameNorthwest Physical Therapy Inc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1114507852
PECOS PAC ID: 2466843628
Enrollment ID: O20211222001784

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. Shane Bradley Wall 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 AddressPractice Location Address
Shane Bradley Wall, PT
400 S Houston St.,
De Leon, TX 76444

Ph: (254) 893-2015		Shane Bradley Wall, PT
400 S Houston St,
De Leon, TX 76444-1928

Ph: (254) 893-2015

Reviews and Comments


Physical Therapist in De Leon, TX

At Home Physical Therapy Pllc
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 836 E Reynosa Ave, De Leon, TX 76444
Phone: 254-734-5421    Fax: 254-893-7955
Mrs. Rana Lorene Zoch, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 400 S. Houston St., De Leon, TX 76444
Phone: 254-893-2015    
Mr. Bradford A Bettis, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: Comanche Physical Therapy Services Inc, 400 South Houston, De Leon, TX 76444
Phone: 254-893-2015    Fax: 254-893-2014

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.