Fannie Beatrice Wallace, LPC in Hot Springs, AR

Fannie Beatrice Wallace, LPC is a medicare enrolled "Counselor - Professional" provider in Hot Springs, Arkansas. Her current practice location is 104 Sonnet St, Hot Springs, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 553-5539.

Fannie Beatrice Wallace is licensed to practice in Arkansas (license number P2205002) 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 1730628074.

Contact Information

	Fannie Beatrice Wallace, LPC
	104 Sonnet St, Hot Springs, AR 71913-4437
	(501) 553-5539
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Fannie Beatrice Wallace
Gender	Female
Speciality	Counselor - Professional
Location	104 Sonnet St, Hot Springs, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730628074
Provider Enumeration Date: 02/20/2017
Last Update Date: 10/11/2024

Medicare PECOS Information:

PECOS PAC ID: 4688027428
Enrollment ID: I20240129002994

Medical Identifiers

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

Identifier	Type	State	Issuer
1730628074	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	A2005077 (Arkansas)	Secondary
101YP2500X	Counselor - Professional	P2205002 (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. Fannie Beatrice Wallace 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. Fannie Beatrice 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
Fannie Beatrice Wallace, LPC Po Box 1011, Hot Springs, AR 71902-1011 Ph: (501) 553-5539	Fannie Beatrice Wallace, LPC 104 Sonnet St, Hot Springs, AR 71913-4437 Ph: (501) 553-5539

Reviews and Comments

Counselor in Hot Springs, AR

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Cheryl Kuhn, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1820 Central Ave. Ste. B, Hot Springs, AR 71901 Phone: 501-623-6000 Fax: 501-623-6004
Kylie Walton, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3604 Central Ave, Suite C, Hot Springs, AR 71913 Phone: 501-623-9220 Fax: 501-623-9227
Stephanie Hamilton, Counselor Medicare: Medicare Enrolled Practice Location: 1820 Central Ave Ste B, Hot Springs, AR 71901 Phone: 501-623-6000 Fax: 501-623-6004
Mary Catherine Liscinski, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 320 Ouachita Ave Ste 214, Hot Springs, AR 71901 Phone: 501-547-1347

Fannie Beatrice Wallace, LPC - Medicare Counselor in Hot Springs, AR