Ty Lamar Wallace, MSW - Clinical Social Worker in Pinckneyville, IL

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Ty Lamar Wallace, MSW is a Social Worker - Clinical based in Pinckneyville, Illinois. Ty Lamar Wallace is licensed to practice in Illinois (license number 149-010121) and his current practice location is 4904 Bowls Bottom Rd, Pinckneyville, Illinois. He can be reached at his office (for appointments etc.) via phone at (618) 926-6050.

NPI number for Ty Lamar Wallace is 1295257624 and his current mailing address is 4904 Bowls Bottom Rd, Pinckneyville, Illinois. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1295257624.

Contact Information

Ty Lamar Wallace, MSW
4904 Bowls Bottom Rd,
Pinckneyville, IL 62274-2453
(618) 926-6050
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameTy Lamar Wallace
GenderMale
SpecialitySocial Worker - Clinical
Location4904 Bowls Bottom Rd, Pinckneyville, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1295257624
  • Provider Enumeration Date: 07/07/2017
  • Last Update Date: 07/21/2022

Medical Identifiers

Medical identifiers for Ty Lamar Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295257624NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 149-010121 (Illinois)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. Ty Lamar Wallace is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ty Lamar Wallace, MSW
4904 Bowls Bottom Rd,
Pinckneyville, IL 62274-2453

Ph: (618) 926-6050		Ty Lamar Wallace, MSW
4904 Bowls Bottom Rd,
Pinckneyville, IL 62274-2453

Ph: (618) 926-6050

Reviews and Comments


Social Worker in Pinckneyville, IL

Pamela Sue Jackson, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 17 W Water St, Pinckneyville, IL 62274
Phone: 618-357-3396    Fax: 618-357-3396

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.