Jane Oliver Wallis, MS-SLP in Antioch, CA - Medicare Speech-Language Pathologist Provider

Jane Oliver Wallis, MS-SLP is a medicare enrolled "Speech-language Pathologist" provider in Antioch, California. Her current practice location is 4501 Sand Creek Rd, Antioch, California. You can reach out to her office (for appointments etc.) via phone at (925) 813-6420.

Jane Oliver Wallis is licensed to practice in California (license number 7414) 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 1255685590.

Contact Information

	Jane Oliver Wallis, MS-SLP
	4501 Sand Creek Rd, Antioch, CA 94531-8687
	(925) 813-6420
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jane Oliver Wallis
Gender	Female
Speciality	Speech-language Pathologist
Location	4501 Sand Creek Rd, Antioch, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255685590
Provider Enumeration Date: 11/08/2012
Last Update Date: 01/13/2022

Medicare PECOS Information:

PECOS PAC ID: 7517225436
Enrollment ID: I20171226002008

Medical Identifiers

Medical identifiers for Jane Oliver Wallis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255685590	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	7414 (California)	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. Jane Oliver Wallis allows following entities to bill medicare on her behalf.

Provider Name	Permanente Medical Group Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Jane Oliver Wallis 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
Jane Oliver Wallis, MS-SLP 4501 Sand Creek Rd, Antioch, CA 94531-8687 Ph: (925) 813-7706	Jane Oliver Wallis, MS-SLP 4501 Sand Creek Rd, Antioch, CA 94531-8687 Ph: (925) 813-6420

Reviews and Comments

Speech-Language Pathologist in Antioch, CA

Diana J Sadiasa-chua, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1210 A Street, Antioch, CA 94509 Phone: 925-776-5625 Fax: 925-757-0702
Melissa Rivera, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1207 Beverly St, Antioch, CA 94509 Phone: 925-864-3811
Gabrielle Angeles, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1210 A St, Antioch, CA 94509 Phone: 925-757-8787
Norma Delia Lozano Hernandez, M.S., CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 4501 Sand Creek Rd, Antioch, CA 94531 Phone: 925-813-6500
Summit Speech Language Pathology Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 5538 Coachford Way, Antioch, CA 94531 Phone: 925-503-3533
Sarah Wooten, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 4321 Wallaby Ct, Antioch, CA 94531 Phone: 925-759-5113 Fax: 925-759-5113

Jane Oliver Wallis, MS-SLP - Medicare Speech-Language Pathologist in Antioch, CA