Dionne Wallace, in Lafayette, LA - Medicare Social Worker Provider

Dionne Wallace, is a medicare enrolled "Social Worker - Clinical" provider in Lafayette, Louisiana. Her current practice location is 1010 Auburn Ave, Lafayette, Louisiana. You can reach out to her office (for appointments etc.) via phone at (337) 261-2300.

Dionne Wallace is licensed to practice in Nevada (license number IC-1329) 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 1487948568.

Contact Information

	Dionne Wallace,
	1010 Auburn Ave, Lafayette, LA 70503-2308
	(337) 261-2300
	(337) 261-9080

Map and Direction

Healthcare Provider's Profile

Full Name	Dionne Wallace
Gender	Female
Speciality	Social Worker - Clinical
Location	1010 Auburn Ave, Lafayette, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487948568
Provider Enumeration Date: 06/06/2011
Last Update Date: 05/30/2024

Medicare PECOS Information:

PECOS PAC ID: 1355715616
Enrollment ID: I20230328001790

Medical Identifiers

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

Identifier	Type	State	Issuer
1487948568	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	IC-1329 (Nevada)	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. Dionne Wallace allows following entities to bill medicare on her behalf.

Entity Name	Oasis Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336400951 PECOS PAC ID: 3971752684 Enrollment ID: O20121012000077

Entity Name	Behavioral Health Solutions Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548765258 PECOS PAC ID: 4385998954 Enrollment ID: O20181116002509

Entity Name	Brightside Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801355482 PECOS PAC ID: 6608262464 Enrollment ID: O20230810004035

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. Dionne 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
Dionne Wallace, 1000 Chinaberry Dr Ste 900, Bossier City, LA 71111-2455 Ph: (318) 459-6795	Dionne Wallace, 1010 Auburn Ave, Lafayette, LA 70503-2308 Ph: (337) 261-2300

Reviews and Comments

Social Worker in Lafayette, LA

Dana Judice, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 217 W Brentwood Blvd, Lafayette, LA 70506 Phone: 337-993-7927 Fax: 337-856-8127
Sandra S Mathews, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 218 Rue Louis Xiv, Ste A, Lafayette, LA 70508 Phone: 337-988-1271 Fax: 337-988-1272
Laura L Friedberg, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 143 Ridgeway Dr Ste 203, Lafayette, LA 70503 Phone: 337-988-9802 Fax: 337-988-9802
Rebecca Oyer, M.S.W., L.C.S.W. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 809 Martin Luther King Jr Dr, Lafayette, LA 70501 Phone: 337-233-2437 Fax: 337-235-4178
Mrs. Carmen Bergeron Falgout, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 Coulee Shore Dr, Lafayette, LA 70503 Phone: 337-237-0036 Fax: 337-237-0566
Ms. Emilia J Bellone, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1720 Kaliste Saloom Rd Ste C8, Lafayette, LA 70508 Phone: 337-989-0933 Fax: 337-989-8458
Evalyn Yvette Otzenberger, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 105 Woodbine Dr, Lafayette, LA 70503 Phone: 337-456-4633

Dionne Wallace, - Medicare Clinical Social Worker in Lafayette, LA