Andrew Nathan Wallace, LCSW in Canton, GA - Medicare Social Worker Provider

Andrew Nathan Wallace, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Canton, Georgia. His current practice location is 191 Lamar Haley Pkwy, Canton, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 704-1600.

Andrew Nathan Wallace is licensed to practice in Georgia (license number CSW008417) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1295433167.

Contact Information

	Andrew Nathan Wallace, LCSW
	191 Lamar Haley Pkwy, Canton, GA 30114-8019
	(770) 704-1600
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Andrew Nathan Wallace
Gender	Male
Speciality	Social Worker - Clinical
Location	191 Lamar Haley Pkwy, Canton, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295433167
Provider Enumeration Date: 02/21/2023
Last Update Date: 04/25/2023

Medicare PECOS Information:

PECOS PAC ID: 3678947462
Enrollment ID: I20230317001092

Medical Identifiers

Medical identifiers for Andrew Nathan Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295433167	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	CSW008417 (Georgia)	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. Andrew Nathan Wallace allows following entities to bill medicare on his behalf.

Entity Name	Highland Rivers Community Service Board
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447256243 PECOS PAC ID: 9032000245 Enrollment ID: O20040324001204

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. Andrew Nathan 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 Address	Practice Location Address
Andrew Nathan Wallace, LCSW 1193 Wade Green Cir Nw, Acworth, GA 30102-3491 Ph: (770) 866-6851	Andrew Nathan Wallace, LCSW 191 Lamar Haley Pkwy, Canton, GA 30114-8019 Ph: (770) 704-1600

Reviews and Comments

Social Worker in Canton, GA

Mr. Keith George Helmken, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 250 E Main St, Suite 201, Canton, GA 30114 Phone: 770-953-4744 Fax: 770-953-4740
Ms. Patricia Marie Rickman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 310 Paper Trail Way, Suite 106, Canton, GA 30115 Phone: 678-880-4645 Fax: 770-628-0046
Mrs. Elaine Charlotte Simms, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 260 Hospital Rd, Canton, GA 30114 Phone: 678-880-3939 Fax: 678-880-0001
Kelsey Scott, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3395 Sixes Rd Unit 2302, Canton, GA 30114 Phone: 770-224-7245
Kayla Farabaugh, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2920 Marietta Hwy, Canton, GA 30114 Phone: 770-345-7149 Fax: 770-345-1277
Melinda J Wood, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1067 Middlebrooke Dr, Canton, GA 30115 Phone: 404-423-3966
Lydia Bishop, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 124 Academy Ln, Canton, GA 30114 Phone: 770-262-7943

Andrew Nathan Wallace, LCSW - Medicare Clinical Social Worker in Canton, GA