Ms Ebony Lashawn Wallace, is a
Case Manager/care Coordinator based in Baton Rouge, Louisiana. Ms Ebony Lashawn Wallace is licensed to practice in * (Not Available) (license number ) and her current practice location is
8326 Kelwood Ave, Baton Rouge, Louisiana. She can be reached at her office (for appointments etc.) via phone at
(225) 929-9738.
NPI number for Ms Ebony Lashawn Wallace is 1265888374 and her current mailing address is 1000 Chinaberry Dr Ste 900, Bossier City, Louisiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265888374.
Healthcare Provider's Profile
Full Name | Ms Ebony Lashawn Wallace |
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Gender | Female |
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Speciality | Case Manager/care Coordinator |
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Location | 8326 Kelwood Ave, Baton Rouge, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1265888374
- Provider Enumeration Date: 05/06/2016
- Last Update Date: 12/02/2019
Medical Identifiers
Medical identifiers for Ms Ebony Lashawn Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265888374 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (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. Ms Ebony Lashawn 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 |
Ms Ebony Lashawn Wallace, 1000 Chinaberry Dr Ste 900, Bossier City, LA 71111-2455 Ph: (318) 459-6795 | Ms Ebony Lashawn Wallace, 8326 Kelwood Ave, Baton Rouge, LA 70806-4803 Ph: (225) 929-9738 |
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