Dr Wanda Dannette Wallace, DSW, LCSW in Pensacola, FL - Medicare Clinical Social Worker Provider

Dr Wanda Dannette Wallace, DSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Pensacola, Florida. She graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Stone Ridge Counseling Center Inc and her current practice location is 9013 University Pkwy Ste C, Pensacola, Florida. You can reach out to her office (for appointments etc.) via phone at (850) 380-8320.

Dr Wanda Dannette Wallace is licensed to practice in Florida (license number SW13939) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1043866411.

Contact Information

	Dr Wanda Dannette Wallace, DSW, LCSW
	9013 University Pkwy Ste C, Pensacola, FL 32514-9421
	(850) 380-8320
	(850) 478-7802

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Wanda Dannette Wallace
Gender	Female
Speciality	Clinical Social Worker
Experience	5 Years
Location	9013 University Pkwy Ste C, Pensacola, Florida
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Wanda Dannette Wallace graduated from medical school in 2019

NPI Data:

NPI Number: 1043866411
Provider Enumeration Date: 08/12/2019
Last Update Date: 08/20/2019

Medicare PECOS Information:

PECOS PAC ID: 6103157110
Enrollment ID: I20191004002600

Medical Identifiers

Medical identifiers for Dr Wanda Dannette Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043866411	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	SW13939 (Florida)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Stone Ridge Counseling Center Inc	0840356127	2

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. Dr Wanda Dannette Wallace allows following entities to bill medicare on her behalf.

Entity Name	Stone Ridge Counseling Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710134721 PECOS PAC ID: 0840356127 Enrollment ID: O20090312000031

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. Dr Wanda Dannette 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
Dr Wanda Dannette Wallace, DSW, LCSW 9013 University Pkwy Ste C, Pensacola, FL 32514-9421 Ph: (850) 380-8320	Dr Wanda Dannette Wallace, DSW, LCSW 9013 University Pkwy Ste C, Pensacola, FL 32514-9421 Ph: (850) 380-8320

Reviews and Comments

Social Worker in Pensacola, FL

Rachel M Haynes, MHA, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1221 W Lakeview Ave, Pensacola, FL 32501 Phone: 850-469-3500 Fax: 850-595-1400
Octavia Seals, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1221 W Lakeview Ave, Pensacola, FL 32501 Phone: 850-469-3500 Fax: 850-595-1400
Ashley Cool, RCSWI #15001 Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 112 W Cervantes St, Pensacola, FL 32501 Phone: 850-296-8484
Mr. John Gunther, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 790 Veterans Way, Pensacola, FL 32507 Phone: 850-912-2500
Paul Alvarado, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1221 W Lakeview Ave, Pensacola, FL 32501 Phone: 850-469-3500
Erica Watts, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 901 North I Street, Pensacola, FL 32501 Phone: 850-716-6245
Katie Remis, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4300 Bayou Blvd Ste 25d, Pensacola, FL 32503 Phone: 850-602-8988

Dr Wanda Dannette Wallace, DSW, LCSW - Medicare Clinical Social Worker in Pensacola, FL