Kenora S Wallace, in Horn Lake, MS - Medicare Chiropractor Provider

Kenora S Wallace, is a medicare enrolled "Chiropractor" provider in Horn Lake, Mississippi. Her current practice location is 2085 Goodman Rd W Ste 8, Horn Lake, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 890-0012.

Kenora S Wallace is licensed to practice in Mississippi (license number 1367) 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 1366158859.

Contact Information

	Kenora S Wallace,
	2085 Goodman Rd W Ste 8, Horn Lake, MS 38637-1416
	(662) 890-0012
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kenora S Wallace
Gender	Female
Speciality	Chiropractor
Location	2085 Goodman Rd W Ste 8, Horn Lake, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366158859
Provider Enumeration Date: 01/27/2023
Last Update Date: 01/27/2023

Medicare PECOS Information:

PECOS PAC ID: 8426421090
Enrollment ID: I20230301001302

Medical Identifiers

Medical identifiers for Kenora S Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366158859	NPI	-	NPPES
1367	Other	MS	LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	1367 (Mississippi)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kenora S Wallace allows following entities to bill medicare on her behalf.

Provider Name	Mid South Chiropractic Of Horn Lake Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1518445444 PECOS PAC ID: 2466706064 Enrollment ID: O20181119000763

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. Kenora S 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 Address	Practice Location Address
Kenora S Wallace, 2085 Goodman Rd W Ste 80, Horn Lake, MS 38637-1416 Ph: (662) 890-0012	Kenora S Wallace, 2085 Goodman Rd W Ste 8, Horn Lake, MS 38637-1416 Ph: (662) 890-0012

Reviews and Comments

Chiropractor in Horn Lake, MS

Dr. Steve Tencer, D C Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1941 Goodman Rd W, Suite 101, Horn Lake, MS 38637 Phone: 662-393-8500 Fax: 662-393-9994
Dr. R. Alan Minks, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3400 Goodman Rd W, Horn Lake, MS 38637 Phone: 662-342-5368 Fax: 662-342-7980
Mid South Chiropractic Of Horn Lake Pllc Chiropractor Medicare: Medicare Enrolled Practice Location: 2085 Goodman Rd W Ste 80, Horn Lake, MS 38637 Phone: 662-890-0012
Kyle Patrick Cobb, Chiropractor Medicare: Medicare Enrolled Practice Location: 2085 Goodman Rd W Ste 80, Horn Lake, MS 38637 Phone: 662-890-0012
Dr. Robert Paul Franco, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2085 Goodman Rd W Ste 80, Horn Lake, MS 38637 Phone: 662-890-0012

Kenora S Wallace, - Medicare Chiropractor in Horn Lake, MS