Jessica M Wallace, LPC in Viroqua, WI - Medicare Counselor Provider

Jessica M Wallace, LPC is a medicare enrolled "Counselor - Mental Health" provider in Viroqua, Wisconsin. Her current practice location is 414 S East Ave, Viroqua, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 638-3332.

Jessica M Wallace is licensed to practice in Wisconsin (license number 5593125) 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 1932855871.

Contact Information

	Jessica M Wallace, LPC
	414 S East Ave, Viroqua, WI 54665-2006
	(608) 638-3332
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jessica M Wallace
Gender	Female
Speciality	Counselor - Mental Health
Location	414 S East Ave, Viroqua, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932855871
Provider Enumeration Date: 03/01/2022
Last Update Date: 03/05/2022

Medicare PECOS Information:

PECOS PAC ID: 3971949603
Enrollment ID: I20240315002043

Medical Identifiers

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

Identifier	Type	State	Issuer
1932855871	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	5593125 (Wisconsin)	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. Jessica M Wallace allows following entities to bill medicare on her behalf.

Entity Name	Stonehouse Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588837074 PECOS PAC ID: 0042569923 Enrollment ID: O20180827001338

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. Jessica M 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
Jessica M Wallace, LPC S5564 County Rd S, Viola, WI 54664-8058 Ph: (920) 309-3040	Jessica M Wallace, LPC 414 S East Ave, Viroqua, WI 54665-2006 Ph: (608) 638-3332

Reviews and Comments

Counselor in Viroqua, WI

Joanna Marie Fanning, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1321 N Main St, Viroqua, WI 54665 Phone: 608-637-7052 Fax: 608-637-8500
Ms. Laura Carol Cavanaugh, LPCC, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1321 N Main St, Viroqua, WI 54665 Phone: 608-637-7052 Fax: 608-637-8500
Ms. Rita Gould Berkley, MAET , ATR, DT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1321 N Main St, Viroqua, WI 54665 Phone: 608-637-7052 Fax: 608-637-8500
Barbara K Welsh, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1321 N Main St, Viroqua, WI 54665 Phone: 608-637-7052 Fax: 608-637-8500
Holly Dwyer, LPC-IT Counselor Medicare: Medicare Enrolled Practice Location: 507 S Main St, Viroqua, WI 54665 Phone: 608-637-2101
Mr. Patrick K Kelley, CSAC,ICS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1321 N Main St, Viroqua, WI 54665 Phone: 608-637-7052 Fax: 608-785-0002
Mark Sandberg, Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 E Jefferson St, Viroqua, WI 54665 Phone: 608-632-3286

Jessica M Wallace, LPC - Medicare Counselor in Viroqua, WI