Edwina Wallace, in Battle Creek, MI - Medicare Counselor Provider

Edwina Wallace, is a medicare enrolled "Counselor - Mental Health" provider in Battle Creek, Michigan. Her current practice location is 140 Michigan Ave W, Battle Creek, Michigan. You can reach out to her office (for appointments etc.) via phone at (269) 966-1460.

Edwina Wallace is licensed to practice in Michigan (license number 6401011732) 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 1003382938.

Contact Information

	Edwina Wallace,
	140 Michigan Ave W, Battle Creek, MI 49017-3602
	(269) 966-1460
	(269) 966-2844

Map and Direction

Healthcare Provider's Profile

Full Name	Edwina Wallace
Gender	Female
Speciality	Counselor - Mental Health
Location	140 Michigan Ave W, Battle Creek, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003382938
Provider Enumeration Date: 10/18/2018
Last Update Date: 10/18/2018

Medicare PECOS Information:

PECOS PAC ID: 3577913144
Enrollment ID: I20231221003400

Medical Identifiers

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

Identifier	Type	State	Issuer
1003382938	NPI	-	NPPES
6401011732	Other	MI	LICENSE NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	6401011732 (Michigan)	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. Edwina Wallace allows following entities to bill medicare on her behalf.

Entity Name	Summit Pointe
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700833555 PECOS PAC ID: 4587551189 Enrollment ID: O20040228000492

Entity Name	Comforts Of Home Counseling & Care Management Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306193602 PECOS PAC ID: 8123305802 Enrollment ID: O20170505001608

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. Edwina 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
Edwina Wallace, 140 Michigan Ave W, Battle Creek, MI 49017-3602 Ph: (269) 966-1460	Edwina Wallace, 140 Michigan Ave W, Battle Creek, MI 49017-3602 Ph: (269) 966-1460

Reviews and Comments

Counselor in Battle Creek, MI

Ginger Osborn, Counselor Medicare: Medicare Enrolled Practice Location: 4625 Beckley Rd, Battle Creek, MI 49015 Phone: 269-979-8119
Jessica Lea Cuellar, Counselor Medicare: Not Enrolled in Medicare Practice Location: 203 Brigden Dr, Battle Creek, MI 49014 Phone: 269-282-7105
Emily Wilber, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 203 Brigden Dr, Battle Creek, MI 49014 Phone: 269-282-7112
Inyoung Michelle Lee, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3630 Capital Ave Sw, Battle Creek, MI 49015 Phone: 269-966-1460
Troy Michael Masengale, Counselor Medicare: Medicare Enrolled Practice Location: 11 Green St, Battle Creek, MI 49014 Phone: 269-965-1148
Amanda Ann-morgan Cope, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 491 Columbia Ave E Ste 4, Battle Creek, MI 49014 Phone: 269-962-9611 Fax: 269-962-9612

Edwina Wallace, - Medicare Counselor in Battle Creek, MI