Kristin Wallace, - Clinical Social Worker in Madison, MS

Kristin Wallace, is a Social Worker - Clinical based in Madison, Mississippi. Kristin Wallace is licensed to practice in Mississippi (license number M8300) and her current practice location is 940 Ebenezer Blvd, Madison, Mississippi. She can be reached at her office (for appointments etc.) via phone at (601) 790-0583.

NPI number for Kristin Wallace is 1154931129 and her current mailing address is 437 Pin Oak Dr, Madison, Mississippi. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154931129.

Contact Information

Kristin Wallace,
940 Ebenezer Blvd,
Madison, MS 39110-6002
(601) 790-0583
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKristin Wallace
GenderFemale
SpecialitySocial Worker - Clinical
Location940 Ebenezer Blvd, Madison, Mississippi
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1154931129
  • Provider Enumeration Date: 08/05/2020
  • Last Update Date: 08/05/2020

Medical Identifiers

Medical identifiers for Kristin Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154931129NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical M8300 (Mississippi)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. Kristin Wallace is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kristin Wallace,
437 Pin Oak Dr,
Madison, MS 39110-9365

Ph: () -
Kristin Wallace,
940 Ebenezer Blvd,
Madison, MS 39110-6002

Ph: (601) 790-0583

Reviews and Comments


Social Worker in Madison, MS

Ms. Brenda B Donald, LCSW, BCD
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Medicare: Medicare Enrolled
Practice Location: 133 Executive Dr, Suite B, Madison, MS 39110
Phone: 601-898-7778    
Pamela D Stalder, LCSW
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Medicare: Not Enrolled in Medicare
Practice Location: 254 Ingleside Dr, Madison, MS 39110
Phone: 601-695-1919    Fax: 601-420-5299
Cheri L Nyegaard Holbrook, LCSW
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Medicare: Not Enrolled in Medicare
Practice Location: 254 Ingleside Dr, Madison, MS 39110
Phone: 601-695-1919    Fax: 601-420-5299
Fred Rickman, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 254 Ingleside Dr, Madison, MS 39110
Phone: 601-695-1919    Fax: 601-420-5299
Melinda Edwards, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 254 Ingleside Dr, Madison, MS 39110
Phone: 601-695-1919    Fax: 601-420-5299
Melanie L Moreau, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 254 Ingleside Dr, Madison, MS 39110
Phone: 601-695-1919    Fax: 601-420-5299

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.