Alyssa Marie Wallace, LMHC in Syracuse, NY - Medicare Counselor Provider

Alyssa Marie Wallace, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Syracuse, New York. Her current practice location is 1045 James St Ste 100, Syracuse, New York. You can reach out to her office (for appointments etc.) via phone at (315) 425-1004.

Alyssa Marie Wallace is licensed to practice in New York (license number 01699) 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 1992311047.

Contact Information

	Alyssa Marie Wallace, LMHC
	1045 James St Ste 100, Syracuse, NY 13203-2758
	(315) 425-1004
	(315) 479-7884

Map and Direction

Healthcare Provider's Profile

Full Name	Alyssa Marie Wallace
Gender	Female
Speciality	Counselor - Mental Health
Location	1045 James St Ste 100, Syracuse, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992311047
Provider Enumeration Date: 09/23/2020
Last Update Date: 05/01/2023

Medicare PECOS Information:

PECOS PAC ID: 2567805690
Enrollment ID: I20240206002385

Medical Identifiers

Medical identifiers for Alyssa Marie Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992311047	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	01699 (New York)	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. Alyssa Marie Wallace allows following entities to bill medicare on her behalf.

Entity Name	Liberty Resources Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225254881 PECOS PAC ID: 4486703352 Enrollment ID: O20090526000025

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. Alyssa Marie 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
Alyssa Marie Wallace, LMHC 1045 James St Ste 100, Syracuse, NY 13203-2758 Ph: (315) 425-1004	Alyssa Marie Wallace, LMHC 1045 James St Ste 100, Syracuse, NY 13203-2758 Ph: (315) 425-1004

Reviews and Comments

Counselor in Syracuse, NY

Mrs. Kristen Beeles, LMHC, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 321 W Onondaga St, Syracuse, NY 13202 Phone: 153-478-0610
Mrs. Sarah Elizabeth Houston, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 620 Erie Blvd W, Suite 208, Syracuse, NY 13204 Phone: 315-472-7363 Fax: 315-472-0084
David Lee Ford Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 375 W Onondaga St, Syracuse, NY 13202 Phone: 315-478-2030
Kayla Marie Hayes, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 329 N Salina Street, Syracuse, NY 13203 Phone: 315-434-5333
Ms. Cynthia Rose Badger, L.C.S.W.-R Counselor Medicare: May Accept Medicare Assignments Practice Location: 530 Oak St, Syracuse, NY 13203 Phone: 315-439-6048 Fax: 315-473-9300
Mr. Marcin Robert Zak, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 1045 James St Ste 100, Syracuse, NY 13203 Phone: 315-472-4471
Holly Lynn Weiler, LCAT Counselor Medicare: Not Enrolled in Medicare Practice Location: 329 N Salina St, Syracuse, NY 13203 Phone: 315-471-1564

Alyssa Marie Wallace, LMHC - Medicare Counselor in Syracuse, NY