Alexis D Wallace, CPSS is a
Peer Specialist based in Somerset, Kentucky. Alexis D Wallace is licensed to practice in Kentucky (license number 1207173) and her current practice location is
80 Highway 2227, Somerset, Kentucky. She can be reached at her office (for appointments etc.) via phone at
(606) 485-4003.
NPI number for Alexis D Wallace is 1912688797 and her current mailing address is 80 Highway 2227, Somerset, Kentucky. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1912688797.
Healthcare Provider's Profile
Full Name | Alexis D Wallace |
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Gender | Female |
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Speciality | Peer Specialist |
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Location | 80 Highway 2227, Somerset, Kentucky |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1912688797
- Provider Enumeration Date: 07/26/2023
- Last Update Date: 01/20/2025
Medical Identifiers
Medical identifiers for Alexis D Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912688797 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 296874 (Kentucky) | Secondary |
175T00000X | Peer Specialist | 1207173 (Kentucky) | 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. Alexis D 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 Address | Practice Location Address |
Alexis D Wallace, CPSS 80 Highway 2227, Somerset, KY 42503-1562 Ph: (606) 485-4003 | Alexis D Wallace, CPSS 80 Highway 2227, Somerset, KY 42503-1562 Ph: (606) 485-4003 |
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