Lisa Wallace, LCSW, LCDC in Georgetown, TX - Medicare Social Worker Provider

Lisa Wallace, LCSW, LCDC is a medicare enrolled "Social Worker - Clinical" provider in Georgetown, Texas. Her current practice location is 2903 Gabriel View Dr, Georgetown, Texas. You can reach out to her office (for appointments etc.) via phone at (512) 869-9254.

Lisa Wallace is licensed to practice in Texas (license number 58545) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1760958458.

Contact Information

	Lisa Wallace, LCSW, LCDC
	2903 Gabriel View Dr, Georgetown, TX 78628-2707
	(512) 869-9254
	(512) 863-6833

Map and Direction

Healthcare Provider's Profile

Full Name	Lisa Wallace
Gender	Female
Speciality	Social Worker - Clinical
Location	2903 Gabriel View Dr, Georgetown, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760958458
Provider Enumeration Date: 10/19/2018
Last Update Date: 10/28/2021

Medicare PECOS Information:

PECOS PAC ID: 6002283389
Enrollment ID: I20221028001493

Medical Identifiers

Medical identifiers for Lisa Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760958458	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	58545 (Texas)	Primary
101YA0400X	Counselor - Addiction (substance Use Disorder)	12442 (Texas)	Secondary

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. Lisa Wallace allows following entities to bill medicare on her behalf.

Entity Name	Mesquite Psychotherapy And Consulting Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295484707 PECOS PAC ID: 5395131999 Enrollment ID: O20220407001626

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220525002138

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. Lisa 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
Lisa Wallace, LCSW, LCDC 2903 Gabriel View Dr, Georgetown, TX 78628-2707 Ph: (512) 869-9254	Lisa Wallace, LCSW, LCDC 2903 Gabriel View Dr, Georgetown, TX 78628-2707 Ph: (512) 869-9254

Reviews and Comments

Social Worker in Georgetown, TX

Mr. Bolivar Aguirre, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3007 Dawn Dr Ste 102, Georgetown, TX 78628 Phone: 512-876-3158
Kelsey Novelli, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2423 Williams Dr, #103, Georgetown, TX 78628 Phone: 877-800-5722
Mr. Alan David Rivas, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2423 Williams Dr, Georgetown, TX 78628 Phone: 512-686-0207
Lisa A Margraves, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 109 W 7th St, Suite 235, Georgetown, TX 78626 Phone: 512-788-5634
Joan Elizabeth Maus, MSSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1500 W University Ave, Suite 103, Georgetown, TX 78628 Phone: 512-341-8908 Fax: 512-868-3239
Ms. Joanne Terry Swanson, M.S.W. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 133 Waterford Ln, Georgetown, TX 78628 Phone: 413-687-4057
Holly Jean Wallraff, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1612 Williams Dr, Georgetown, TX 78628 Phone: 309-574-0014

Lisa Wallace, LCSW, LCDC - Medicare Clinical Social Worker in Georgetown, TX