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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: July 26, 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, and ordering and referring status from the CMS PECOS system.

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.

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.

When was this NPI record last updated?

The NPPES record for Wally Jean was last updated on December 31, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.