Deborah Wallis, LAC in Nashville, AR - Medicare Counselor Provider

Deborah Wallis, LAC is a medicare enrolled "Counselor - Mental Health" provider in Nashville, Arkansas. Her current practice location is 1575 Highway 371 W, Nashville, Arkansas. You can reach out to her office (for appointments etc.) via phone at (870) 451-9742.

Deborah Wallis is licensed to practice in Arkansas (license number A0302010) 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 1790908374.

Contact Information

	Deborah Wallis, LAC
	1575 Highway 371 W, Nashville, AR 71852-7598
	(870) 451-9742
	(870) 451-9752

Map and Direction

Healthcare Provider's Profile

Full Name	Deborah Wallis
Gender	Female
Speciality	Counselor - Mental Health
Location	1575 Highway 371 W, Nashville, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790908374
Provider Enumeration Date: 04/11/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 9830542570
Enrollment ID: I20240129003533

Medical Identifiers

Medical identifiers for Deborah Wallis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790908374	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	A0302010 (Arkansas)	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. Deborah Wallis allows following entities to bill medicare on her behalf.

Entity Name	Cornerstone Counseling Clinic, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851819544 PECOS PAC ID: 0547665382 Enrollment ID: O20210817003656

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. Deborah Wallis 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
Deborah Wallis, LAC 127 Woodruff Ln, Nashville, AR 71852-7542 Ph: (870) 557-1094	Deborah Wallis, LAC 1575 Highway 371 W, Nashville, AR 71852-7598 Ph: (870) 451-9742

Reviews and Comments

Counselor in Nashville, AR

Mrs. Deborah P. King, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1894 Mount Pleasant Dr, Nashville, AR 71852 Phone: 870-845-1177 Fax: 870-845-0002
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Haley Rogers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 508 N 2nd St, Nashville, AR 71852 Phone: 870-455-0134
Mrs. Amanda Michelle Ferguson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 114 S Main St, Nashville, AR 71852 Phone: 870-845-0033
Chelsea Daye Tollett, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 E Hempstead St Ste 1, Nashville, AR 71852 Phone: 870-845-3110
William J Barton, Counselor Medicare: Medicare Enrolled Practice Location: 508 N 2nd St, Nashville, AR 71852 Phone: 870-455-0134

Deborah Wallis, LAC - Medicare Counselor in Nashville, AR