Charmaine Wallace, is a
Counselor based in Ama, Louisiana. Charmaine Wallace is licensed to practice in * (Not Available) (license number ) and her current practice location is
10467 River Road, Ama, Louisiana. She can be reached at her office (for appointments etc.) via phone at
(504) 431-3030.
NPI number for Charmaine Wallace is 1932657343 and her current mailing address is Po Box 703, Ama, Louisiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1932657343.
Healthcare Provider's Profile
Full Name | Charmaine Wallace |
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Gender | Female |
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Speciality | Counselor |
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Location | 10467 River Road, Ama, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1932657343
- Provider Enumeration Date: 09/14/2016
- Last Update Date: 09/14/2016
Medical Identifiers
Medical identifiers for Charmaine Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1932657343 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | 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. Charmaine 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 |
Charmaine Wallace, Po Box 703, Ama, LA 70031-0703 Ph: (504) 431-3030 | Charmaine Wallace, 10467 River Road, Ama, LA 70031-0703 Ph: (504) 431-3030 |
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