Mr Jeffrey Eugene Wallace, LICSW, MSW, CDP, MHP - Medicare in Spokane, WA

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Mr Jeffrey Eugene Wallace, LICSW, MSW, CDP, MHP is a medicare enrolled "Counselor - Mental Health" provider in Spokane, Washington. His current practice location is 400 S Jefferson St Ste 200, Spokane, Washington. You can reach out to his office (for appointments etc.) via phone at (509) 822-8662.

Mr Jeffrey Eugene Wallace is licensed to practice in Washington (license number SC60493319) 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 1538557012.

Contact Information

Mr Jeffrey Eugene Wallace, LICSW, MSW, CDP, MHP
400 S Jefferson St Ste 200,
Spokane, WA 99204-3143
(509) 822-8662
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMr Jeffrey Eugene Wallace
GenderMale
SpecialityCounselor - Mental Health
Location400 S Jefferson St Ste 200, Spokane, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1538557012
  • Provider Enumeration Date: 01/06/2015
  • Last Update Date: 01/28/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 6901340884
  • Enrollment ID: I20240702003499

Medical Identifiers

Medical identifiers for Mr Jeffrey Eugene Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538557012NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical SC60493319 (Washington)Secondary
101YM0800XCounselor - Mental Health SC60493319 (Washington)Primary
101YA0400XCounselor - Addiction (substance Use Disorder) CO60490069 (Washington)Secondary

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 Jeffrey Eugene 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 AddressPractice Location Address
Mr Jeffrey Eugene Wallace, LICSW, MSW, CDP, MHP
400 S Jefferson St Ste 200,
Spokane, WA 99204-3143

Ph: (509) 822-8662		Mr Jeffrey Eugene Wallace, LICSW, MSW, CDP, MHP
400 S Jefferson St Ste 200,
Spokane, WA 99204-3143

Ph: (509) 822-8662

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.