Cynthia Ann Wallis, LISW in Mansfield, OH - Medicare Social Worker Provider

Cynthia Ann Wallis, LISW is a medicare enrolled "Social Worker - Clinical" provider in Mansfield, Ohio. Her current practice location is 741 Scholl Rd, Mansfield, Ohio. You can reach out to her office (for appointments etc.) via phone at (419) 774-6703.

Cynthia Ann Wallis is licensed to practice in * (Not Available) (license number ) 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 1386864304.

Contact Information

	Cynthia Ann Wallis, LISW
	741 Scholl Rd, Mansfield, OH 44907-1571
	(419) 774-6703
	(419) 756-2594

Map and Direction

Healthcare Provider's Profile

Full Name	Cynthia Ann Wallis
Gender	Female
Speciality	Social Worker - Clinical
Location	741 Scholl Rd, Mansfield, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386864304
Provider Enumeration Date: 05/01/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 0244476661
Enrollment ID: I20130409000390

Medical Identifiers

Medical identifiers for Cynthia Ann Wallis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386864304	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	(* (Not Available))	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. Cynthia Ann Wallis allows following entities to bill medicare on her behalf.

Entity Name	Community Counseling Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669448544 PECOS PAC ID: 1254430283 Enrollment ID: O20070615000445

Entity Name	Third Street Community Clinic, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669158838 PECOS PAC ID: 2365423977 Enrollment ID: O20230807001755

Entity Name	Third Street Community Clinic, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861170565 PECOS PAC ID: 2365423977 Enrollment ID: O20231215002895

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. Cynthia Ann 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
Cynthia Ann Wallis, LISW 741 Scholl Rd, Mansfield, OH 44907-1571 Ph: (419) 774-6703	Cynthia Ann Wallis, LISW 741 Scholl Rd, Mansfield, OH 44907-1571 Ph: (419) 774-6703

Reviews and Comments

Social Worker in Mansfield, OH

Deborah Sue Balliett Veley, LISW, LNHA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1365 Beechdale Dr, Mansfield, OH 44907 Phone: 937-532-5084
Mary L. Pryor, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 151 Marion Ave, Mansfield, OH 44903 Phone: 419-774-9969 Fax: 419-756-5642
Mrs. Emily A Harstine, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 741 Scholl Rd, Mansfield, OH 44907 Phone: 419-774-6836
Mr. Paul Hasenauer, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 741 Scholl Rd, Mansfield, OH 44907 Phone: 419-756-1717 Fax: 419-756-2594
Julie Ann Trifiletti, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 741 Scholl Rd, Mansfield, OH 44907 Phone: 419-774-6762 Fax: 419-756-2594
Jennifer M Howe, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 741 Scholl Rd, Mansfield, OH 44907 Phone: 419-774-6892
Mrs. Elizabeth Anne Daniels, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1451 Lucas Rd, Mansfield, OH 44903 Phone: 419-589-5511 Fax: 419-589-7599

Cynthia Ann Wallis, LISW - Medicare Clinical Social Worker in Mansfield, OH