Kati Wallace, is a medicare enrolled "Social Worker - Clinical" provider in Cloverdale, Indiana. She graduated from medical school in 2019 and has 7 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Putnam County Hospital and 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
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 1245072073.
Healthcare Provider's Profile
| Full Name | Kati Wallace |
|---|
| Gender | Female |
|---|
| Speciality | Clinical Social Worker |
|---|
| Experience | 7 Years |
|---|
| Location | 3 W Boone St, Cloverdale, Indiana |
|---|
| 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:
- 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 |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Putnam County Hospital | 1951396605 | 47 |
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 |
Reviews and Comments