Holly Wallace, LMHC in Sebring, FL - Medicare Counselor Provider

Holly Wallace, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Sebring, Florida. Her current practice location is 1968 Sebring Pkwy, Sebring, Florida. You can reach out to her office (for appointments etc.) via phone at (863) 519-0575.

Holly Wallace is licensed to practice in Florida (license number MH9182) 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 1699948844.

Contact Information

	Holly Wallace, LMHC
	1968 Sebring Pkwy, Sebring, FL 33870-1654
	(863) 519-0575
	(863) 582-9251

Map and Direction

Healthcare Provider's Profile

Full Name	Holly Wallace
Gender	Female
Speciality	Counselor - Mental Health
Location	1968 Sebring Pkwy, Sebring, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699948844
Provider Enumeration Date: 04/09/2008
Last Update Date: 10/29/2015

Medicare PECOS Information:

PECOS PAC ID: 3173973187
Enrollment ID: I20240103000056

Medical Identifiers

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

Identifier	Type	State	Issuer
1699948844	NPI	-	NPPES
002054100	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	MH9182 (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. Holly Wallace allows following entities to bill medicare on her behalf.

Entity Name	Peace River Center For Personal Development Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821097767 PECOS PAC ID: 7719877927 Enrollment ID: O20040319000056

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. Holly 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
Holly Wallace, LMHC Po Box 1559, Bartow, FL 33831-1559 Ph: (863) 519-0575	Holly Wallace, LMHC 1968 Sebring Pkwy, Sebring, FL 33870-1654 Ph: (863) 519-0575

Reviews and Comments

Counselor in Sebring, FL

Erin A Emanoilidis, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7205 S George Blvd, Sebring, FL 33875 Phone: 863-519-0575
Amber M. Ryan, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 320 N Ridgewood Dr, Sebring, FL 33870 Phone: 844-373-5762
James M Sclater, Counselor Medicare: Not Enrolled in Medicare Practice Location: 326 N Ridgewood Dr Suite C, ,, Sebring, FL 33870 Phone: 844-373-5762
Caristen Kimbrell, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 103 N Ridgewood Dr, Sebring, FL 33870 Phone: 863-285-3939
Mrs. Charleen Kay Stroup, LMHC, LPN, CAP, BCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 107 Medical Center Ave, Sebring, FL 33870 Phone: 863-381-4410 Fax: 863-382-6299
Byron J Wickham, Counselor Medicare: Not Enrolled in Medicare Practice Location: 320 N Ridgewood Dr, Sebring, FL 33870 Phone: 576-284-4373
Leanne Crumley, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1558 Lakeview Drive, Sebring, FL 33870 Phone: 863-385-5179 Fax: 863-291-6084

Holly Wallace, LMHC - Medicare Counselor in Sebring, FL