David C Wallace, in Columbus, GA - Medicare Counselor Provider

David C Wallace, is a medicare enrolled "Counselor - Professional" provider in Columbus, Georgia. His current practice location is 2100 Comer Ave, Columbus, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 323-0174.

David C Wallace is licensed to practice in Georgia (license number LPC004754) 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 1952604183.

Contact Information

	David C Wallace,
	2100 Comer Ave, Columbus, GA 31904-8725
	(706) 323-0174
	(706) 256-3264

Map and Direction

Healthcare Provider's Profile

Full Name	David C Wallace
Gender	Male
Speciality	Counselor - Professional
Location	2100 Comer Ave, Columbus, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952604183
Provider Enumeration Date: 12/09/2010
Last Update Date: 10/10/2023

Medicare PECOS Information:

PECOS PAC ID: 1759724941
Enrollment ID: I20240205002025

Medical Identifiers

Medical identifiers for David C Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952604183	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPC004754 (Georgia)	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. David C Wallace allows following entities to bill medicare on his behalf.

Entity Name	Rivertown Psychiatry Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023362852 PECOS PAC ID: 1153575410 Enrollment ID: O20130214000209

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. David C 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
David C Wallace, 5700 Veterans Pkwy, Columbus, GA 31904-9093 Ph: (706) 221-3222	David C Wallace, 2100 Comer Ave, Columbus, GA 31904-8725 Ph: (706) 323-0174

Reviews and Comments

Counselor in Columbus, GA

Dana Barrineau, SST II Counselor Medicare: Not Enrolled in Medicare Practice Location: 2100 Comer Ave., Columbus, GA 31904 Phone: 706-596-5764 Fax: 706-596-5770
Walter Taylor, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1921 S Lumpkin Rd, Columbus, GA 31903 Phone: 706-750-0422 Fax: 706-609-5805
Jennifer Stanley Timberlake, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2920 Macon Rd, Columbus, GA 31906 Phone: 706-507-3141
Patricia Diane Thompson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2022 15th Ave, Columbus, GA 31901 Phone: 706-649-6500 Fax: 706-649-6521
Mr. Michael V Williams Jr., MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 3110 Clay St, Columbus, GA 31903 Phone: 706-992-5312
Juana Lyles, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1220 2nd Ave Ste 107, Columbus, GA 31901 Phone: 334-614-8007
Mary Lou Swift, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2022 15th Ave, Columbus, GA 31901 Phone: 706-649-6500 Fax: 706-649-6521

David C Wallace, - Medicare Counselor in Columbus, GA