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WALLY JEAN MD
NPI 1346654167
General Practice in Poplar, MT

Active since June 19, 2014PECOS Enrolled

NPPES record last updated: December 31, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Wally Jean Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALLY JEAN MD (NPI 1346654167) is an individual general practice provider in Poplar, Montana, licensed in Puerto Rico (19005) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346654167
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameWALLY JEANCredential: MD
Location Address107 H ST WPoplar, MT 59255
Mailing AddressP.o. Box 1582Poplar, MT 59255
Phone(406) 768-3491
Sole ProprietorYes
Enumeration DateJune 19, 2014
Last NPPES UpdateDecember 31, 2015
✔ NPI 1346654167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in PR · 19005
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
107 H ST W, Poplar, MT 59255
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wally Jean Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Wally Jean reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Us Health Dept Of Health & Human Services
Same address
Rural Health
107 H STREET EAST
Poplar, MT 59255
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: U S Health Dept Of Health & Human Services
  • 306 clinicians in this Medicare group
NPI 1972694602 (406) 768-3491
Mescalero Indian Hospital
1,018 mi
Rural
318 ABALONE LOOP
Mescalero, NM 88340
  • Reassigned Medicare billing, Texas enrollment
  • 19 clinicians in this Medicare group
NPI 1891886065 (505) 464-4441

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers11 claims13 services$17.97 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers11 claims13 services$108.32 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wally Jean's NPI number?

The NPI number for Wally Jean is 1346654167. It was assigned to this individual provider in the NPPES registry on June 19, 2014.

Where is Wally Jean located?

Wally Jean practices at 107 H St W, Poplar, MT 59255. The listed phone number is (406) 768-3491.

What is Wally Jean's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Wally Jean enrolled in Medicare?

Yes. Wally Jean is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Wally Jean's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wally Jean reassigns Medicare benefits to 2 organizations: Us Health Dept Of Health & Human Services (Poplar, MT) and Mescalero Indian Hospital (Mescalero, NM). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Wally Jean's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Wally Jean was last updated on December 31, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.