Shannen Margaret Wallace, - Medicare Physical Therapist in Newburyport, MA

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Shannen Margaret Wallace, is a medicare enrolled "Physical Therapist" provider in Newburyport, Massachusetts. Her current practice location is 25 Storey Ave Ste 11, Newburyport, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (978) 499-2370.

Shannen Margaret Wallace is licensed to practice in Massachusetts (license number 25919) 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 1073233250.

Contact Information

Shannen Margaret Wallace,
25 Storey Ave Ste 11,
Newburyport, MA 01950-1869
(978) 499-2370
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameShannen Margaret Wallace
GenderFemale
SpecialityPhysical Therapist
Location25 Storey Ave Ste 11, Newburyport, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073233250
  • Provider Enumeration Date: 08/30/2022
  • Last Update Date: 08/30/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9436500998
  • Enrollment ID: I20240109002122

Medical Identifiers

Medical identifiers for Shannen Margaret Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073233250NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 25919 (Massachusetts)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. Shannen Margaret Wallace allows following entities to bill medicare on her behalf.
Provider NameBay State Physical Therapy Of Randolph Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1164474334
PECOS PAC ID: 6305744251
Enrollment ID: O20191112001187

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. Shannen Margaret 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 AddressPractice Location Address
Shannen Margaret Wallace,
544e Ministerial Rd,
Wakefield, RI 02879-4813

Ph: (401) 536-7614		Shannen Margaret Wallace,
25 Storey Ave Ste 11,
Newburyport, MA 01950-1869

Ph: (978) 499-2370

Reviews and Comments


Physical Therapist in Newburyport, MA

Alexander Ross Lindholm Perrott, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 112 Parker St, Newburyport, MA 01950
Phone: 978-270-5190    
Richard Bernier, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 37 1/2 Forrester St, Newburyport, MA 01950
Phone: 978-465-2862    Fax: 978-465-2839
Connor Boudreau,
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 112 Parker St Lowr Level, Newburyport, MA 01950
Phone: 978-572-4333    Fax: 978-451-0919
Bernier Physical Therapy
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 37 1/2 Forrester St, Newburyport, MA 01950
Phone: 978-465-2862    Fax: 978-465-2839
Small Strides Llc
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 257 Merrimac St, Newburyport, MA 01950
Phone: 978-255-3606    
Wayne Fish,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 350 Merrimac St, Newburyport, MA 01950
Phone: 978-462-0209    Fax: 978-462-0719

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.