Tiffani Wallace, is a
Case Manager/care Coordinator based in Hawthorne, California. Tiffani Wallace is licensed to practice in * (Not Available) (license number ) and her current practice location is
2509 W 115th Pl, Hawthorne, California. She can be reached at her office (for appointments etc.) via phone at
(323) 961-0129.
NPI number for Tiffani Wallace is 1598378234 and her current mailing address is 17671 Peachtree Ln, Carson, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1598378234.
Healthcare Provider's Profile
| Full Name | Tiffani Wallace |
|---|
| Gender | Female |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 2509 W 115th Pl, Hawthorne, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1598378234
- Provider Enumeration Date: 08/24/2020
- Last Update Date: 08/27/2020
Medical Identifiers
Medical identifiers for Tiffani Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598378234 | 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. Tiffani 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 |
|---|
Tiffani Wallace,
17671 Peachtree Ln,
Carson, CA 90746-7489
Ph: (404) 514-1692 | Tiffani Wallace,
2509 W 115th Pl,
Hawthorne, CA 90250-1968
Ph: (323) 961-0129 |
Reviews and Comments