Katherine Wallin, LICSW is a medicare enrolled "Counselor - Mental Health" provider in Austin, Minnesota. Her current practice location is
1400 12th Ave Nw, Austin, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(507) 437-9152.
Katherine Wallin is licensed to practice in Minnesota (license number 16076) 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 1568561389.
Healthcare Provider's Profile
Full Name | Katherine Wallin |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 1400 12th Ave Nw, Austin, Minnesota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1568561389
- Provider Enumeration Date: 09/21/2006
- Last Update Date: 04/30/2018
Medicare PECOS Information:
- PECOS PAC ID: 7214977305
- Enrollment ID: I20050509000316
Medical Identifiers
Medical identifiers for Katherine Wallin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568561389 | NPI | - | NPPES |
16076 | Other | MN | LICENSE NUMBER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 16076 (Minnesota) | Secondary |
101YM0800X | Counselor - Mental Health | 16076 (Minnesota) | Primary |
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. Katherine Wallin 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 |
Katherine Wallin, LICSW 329 Faribault Rd, Faribault, MN 55021-5780 Ph: (507) 334-1983 | Katherine Wallin, LICSW 1400 12th Ave Nw, Austin, MN 55912-1912 Ph: (507) 437-9152 |
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