Sara Wallace, EDS is a
Psychologist - School based in Marengo, Ohio. Sara Wallace is licensed to practice in Ohio (license number OH3151539) and her current practice location is
6506 State Route 229, Marengo, Ohio. She can be reached at her office (for appointments etc.) via phone at
(419) 768-3040.
NPI number for Sara Wallace is 1861804320 and her current mailing address is 225 Switchback Ct, Delaware, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861804320.
Healthcare Provider's Profile
Full Name | Sara Wallace |
---|
Gender | Female |
---|
Speciality | Psychologist - School |
---|
Location | 6506 State Route 229, Marengo, Ohio |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1861804320
- Provider Enumeration Date: 06/02/2014
- Last Update Date: 06/02/2014
Medical Identifiers
Medical identifiers for Sara Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861804320 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TS0200X | Psychologist - School | OH3151539 (Ohio) | 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. Sara 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 |
Sara Wallace, EDS 225 Switchback Ct, Delaware, OH 43015-4315 Ph: (330) 509-1617 | Sara Wallace, EDS 6506 State Route 229, Marengo, OH 43334-9738 Ph: (419) 768-3040 |
Reviews and Comments