Allison Paige Wallace, | |
827 W Harvard St, Siloam Springs, AR 72761-4013 | |
(479) 549-3121 | |
Not Available |
Full Name | Allison Paige Wallace |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 827 W Harvard St, Siloam Springs, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891460044 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Entity Name | Grand Lake Mental Health Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497762520 PECOS PAC ID: 4688711534 Enrollment ID: O20091026000174 |
Mailing Address | Practice Location Address |
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Allison Paige Wallace, 313 Ramsey St, Gentry, AR 72734-7019 Ph: () - | Allison Paige Wallace, 827 W Harvard St, Siloam Springs, AR 72761-4013 Ph: (479) 549-3121 |
Charles Matthew Plummer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 710 S Holly St, Siloam Springs, AR 72761 Phone: 479-750-2020 Fax: 479-524-5197 | |
Jessica Gibson, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 500 S Mount Olive St # 200, Siloam Springs, AR 72761 Phone: 479-524-9550 | |
Kristie D Morgan, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 710 S Holly St, Siloam Springs, AR 72761 Phone: 479-524-8618 Fax: 479-750-4843 | |
Shari K Kimball, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1185 Highway 412 W, Siloam Springs, AR 72761 Phone: 479-373-1113 |