Mr Dustin Wade Wallace, LCSW in Glendale, AZ - Medicare Social Worker Provider

Mr Dustin Wade Wallace, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Glendale, Arizona. His current practice location is 4619 W Saguaro Dr, Glendale, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 999-3355.

Mr Dustin Wade Wallace is licensed to practice in * (Not Available) (license number LCSW-21756) 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 1528667060.

Contact Information

	Mr Dustin Wade Wallace, LCSW
	4619 W Saguaro Dr, Glendale, AZ 85304-4424
	(602) 999-3355
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Dustin Wade Wallace
Gender	Male
Speciality	Social Worker - Clinical
Location	4619 W Saguaro Dr, Glendale, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528667060
Provider Enumeration Date: 10/24/2020
Last Update Date: 08/29/2023

Medicare PECOS Information:

PECOS PAC ID: 1951743798
Enrollment ID: I20240524002757

Medical Identifiers

Medical identifiers for Mr Dustin Wade Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528667060	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LCSW-21756 (* (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. Mr Dustin Wade Wallace allows following entities to bill medicare on his behalf.

Entity Name	Pathways To Connection Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396334157 PECOS PAC ID: 7719321561 Enrollment ID: O20240220002239

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. Mr Dustin Wade 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
Mr Dustin Wade Wallace, LCSW 4619 W Saguaro Dr, Glendale, AZ 85304-4424 Ph: (602) 999-3355	Mr Dustin Wade Wallace, LCSW 4619 W Saguaro Dr, Glendale, AZ 85304-4424 Ph: (602) 999-3355

Reviews and Comments

Social Worker in Glendale, AZ

Dr. Suzanne Young Bushfield, PH.D,, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4701 W Thunderbird Rd, Glendale, AZ 85306 Phone: 602-543-6609 Fax: 602-543-6612
Mr. Mark Allan Morton, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7155 W Campo Bello Dr, Suite C-120, Glendale, AZ 85308 Phone: 623-322-7301 Fax: 602-680-5576
Heather Lynn Castonguay, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6677 W Thunderbird Rd Ste A124, Glendale, AZ 85306 Phone: 480-882-4545
Jeannie M Retamal, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6825 W Bell Rd, Glendale, AZ 85308 Phone: 916-396-4882
Ms. Gretchen Barber-lindstrom, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6153 W Olive Ave, Glendale, AZ 85302 Phone: 623-930-8705
Emily Baker, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6825 W Bell Rd, Glendale, AZ 85308 Phone: 602-486-2182
Angela Mcmullin, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 18205 N 51st Ave Ste 109, Glendale, AZ 85308 Phone: 480-202-9545 Fax: 855-595-2710

Mr Dustin Wade Wallace, LCSW - Medicare Clinical Social Worker in Glendale, AZ