Harlan David Wallner, RMHCI in Gulf Breeze, FL

Harlan David Wallner, RMHCI is a medicare enrolled "Counselor - Mental Health" provider in Gulf Breeze, Florida. His current practice location is 1101 Gulf Breeze Parkway, Bldg 5, Ste 12, Gulf Breeze, Florida. You can reach out to his office (for appointments etc.) via phone at (850) 757-3976.

Harlan David Wallner is licensed to practice in Florida (license number IMH18079) 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 1396381794.

Contact Information

	Harlan David Wallner, RMHCI
	1101 Gulf Breeze Parkway, Bldg 5, Ste 12, Gulf Breeze, FL 32561-4892
	(850) 757-3976
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Harlan David Wallner
Gender	Male
Speciality	Counselor - Mental Health
Location	1101 Gulf Breeze Parkway, Gulf Breeze, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396381794
Provider Enumeration Date: 11/20/2019
Last Update Date: 11/20/2019

Medicare PECOS Information:

PECOS PAC ID: 2567811540
Enrollment ID: I20231215002554

Medical Identifiers

Medical identifiers for Harlan David Wallner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396381794	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	IMH18079 (Florida)	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. Harlan David Wallner allows following entities to bill medicare on his behalf.

Entity Name	Adult & Child Mental Health Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871898106 PECOS PAC ID: 3173702859 Enrollment ID: O20110127000090

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. Harlan David Wallner 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
Harlan David Wallner, RMHCI 2222 Hencye Dr Apt B, Pensacola, FL 32514-7723 Ph: (850) 748-6318	Harlan David Wallner, RMHCI 1101 Gulf Breeze Parkway, Bldg 5, Ste 12, Gulf Breeze, FL 32561-4892 Ph: (850) 757-3976

Reviews and Comments

Counselor in Gulf Breeze, FL

Joni Marie Winstead, LMHC, NCC, MCAP, CTP Counselor Medicare: Not Enrolled in Medicare Practice Location: 4348 Lorraine Ct, Gulf Breeze, FL 32563 Phone: 850-328-4464
Laura Hutto, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1278 Sanibel Ln, Gulf Breeze, FL 32563 Phone: 205-354-3747
Deann Delaney Crain, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1570 Stanford Rd, Gulf Breeze, FL 32563 Phone: 850-934-7009
Thomas Michael Kasabian, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1345 Autumn Breeze Cir, Gulf Breeze, FL 32563 Phone: 850-485-8557
Alexander Brown, Counselor Medicare: Not Enrolled in Medicare Practice Location: 41 Fairpoint Dr Ste G, Gulf Breeze, FL 32561 Phone: 850-769-6001
Surgey Figueroa, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1101 Gulf Breeze Pkwy Ste 12, Gulf Breeze, FL 32561 Phone: 850-391-3012
Nisha Denise Antoine, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1333 College Pkwy # 1018, Gulf Breeze, FL 32563 Phone: 405-926-7614

Harlan David Wallner, RMHCI - Medicare Counselor in Gulf Breeze, FL