Kati Wallace, is a medicare enrolled "Social Worker - Clinical" provider in Cloverdale, Indiana. She graduated from medical school in 2019 and has 6 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
3 W Boone St, Cloverdale, Indiana. You can reach out to her office (for appointments etc.) via phone at
(812) 605-9748.
Kati Wallace is licensed to practice in Indiana (license number 34010387A) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1245072073.
Healthcare Provider's Profile
| Full Name | Kati Wallace |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 6 Years |
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| Location | 3 W Boone St, Cloverdale, Indiana |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Kati Wallace graduated from medical school in 2019
NPI Data:
- NPI Number: 1245072073
- Provider Enumeration Date: 06/11/2024
- Last Update Date: 10/03/2025
Medicare PECOS Information:
- PECOS PAC ID: 6406364470
- Enrollment ID: I20250801000213
Medical Identifiers
Medical identifiers for Kati Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1245072073 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | 34010387A (Indiana) | 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. Kati 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 |
Kati Wallace, 3 W Boone St, Cloverdale, IN 46120-9003 Ph: (812) 605-9748 | Kati Wallace, 3 W Boone St, Cloverdale, IN 46120-9003 Ph: (812) 605-9748 |
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