Krystal Jacquelyn Wallace, MS MA BC is a
Social Worker based in New Albany, Indiana. Krystal Jacquelyn Wallace is licensed to practice in * (Not Available) (license number ) and her current practice location is
618 E Market St, New Albany, Indiana. She can be reached at her office (for appointments etc.) via phone at
(502) 579-1278.
NPI number for Krystal Jacquelyn Wallace is 1295438893 and her current mailing address is 2704 Allston Ave, Louisville, Kentucky. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295438893.
Healthcare Provider's Profile
Full Name | Krystal Jacquelyn Wallace |
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Gender | Female |
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Speciality | Social Worker |
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Location | 618 E Market St, New Albany, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1295438893
- Provider Enumeration Date: 03/23/2023
- Last Update Date: 03/23/2023
Medical Identifiers
Medical identifiers for Krystal Jacquelyn Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295438893 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
104100000X | Social Worker | (* (Not Available)) | Primary |
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. Krystal Jacquelyn Wallace is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Krystal Jacquelyn Wallace, MS MA BC 2704 Allston Ave, Louisville, KY 40210-2004 Ph: (708) 699-5619 | Krystal Jacquelyn Wallace, MS MA BC 618 E Market St, New Albany, IN 47150-2914 Ph: (502) 579-1278 |
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