Mrs Juliana Elizabeth Wallace, MSW ACSW, CADC III - Medicare Counselor in Portland, OR

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Mrs Juliana Elizabeth Wallace, MSW ACSW, CADC III is a medicare enrolled "Social Worker - Clinical" provider in Portland, Oregon. Her current practice location is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 545-9110.

Mrs Juliana Elizabeth Wallace is licensed to practice in Oregon (license number L4458) 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 1568658680.

Contact Information

Mrs Juliana Elizabeth Wallace, MSW ACSW, CADC III
3181 Sw Sam Jackson Park Rd,
Portland, OR 97239-3011
(503) 545-9110
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMrs Juliana Elizabeth Wallace
GenderFemale
SpecialitySocial Worker - Clinical
Location3181 Sw Sam Jackson Park Rd, Portland, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1568658680
  • Provider Enumeration Date: 09/21/2007
  • Last Update Date: 03/10/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 0143634881
  • Enrollment ID: I20210121000010

Medical Identifiers

Medical identifiers for Mrs Juliana Elizabeth Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568658680NPI-NPPES
1568401347MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Secondary
101YA0400XCounselor - Addiction (substance Use Disorder) (* (Not Available))Secondary
104100000XSocial Worker L4458 (Oregon)Secondary
1041C0700XSocial Worker - Clinical L4458 (Oregon)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. Mrs Juliana Elizabeth 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 AddressPractice Location Address
Mrs Juliana Elizabeth Wallace, MSW ACSW, CADC III
10649 Ne 13th Ave, #128,
Portland, OR 97211-1557

Ph: (503) 545-9110		Mrs Juliana Elizabeth Wallace, MSW ACSW, CADC III
3181 Sw Sam Jackson Park Rd,
Portland, OR 97239-3011

Ph: (503) 545-9110

Reviews and Comments


Social Worker in Portland, OR


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.