Mrs Tessa Waterbury Wallace, LCSW in White Salmon, WA

Mrs Tessa Waterbury Wallace, LCSW is a medicare enrolled "Social Worker - Clinical" provider in White Salmon, Washington. Her current practice location is 65371 Hwy 14, White Salmon, Washington. You can reach out to her office (for appointments etc.) via phone at (509) 493-2133.

Mrs Tessa Waterbury Wallace is licensed to practice in Washington (license number LW60171285) 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 1578705950.

Contact Information

	Mrs Tessa Waterbury Wallace, LCSW
	65371 Hwy 14, White Salmon, WA 98672-9867
	(509) 493-2133
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Tessa Waterbury Wallace
Gender	Female
Speciality	Social Worker - Clinical
Location	65371 Hwy 14, White Salmon, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578705950
Provider Enumeration Date: 03/31/2009
Last Update Date: 01/13/2025

Medicare PECOS Information:

PECOS PAC ID: 1254508187
Enrollment ID: I20180905002963

Medical Identifiers

Medical identifiers for Mrs Tessa Waterbury Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578705950	NPI	-	NPPES
2014480	Medicaid	WA
218112	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	L4499 (Oregon)	Secondary
1041C0700X	Social Worker - Clinical	LW60171285 (Washington)	Primary

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. Mrs Tessa Waterbury Wallace allows following entities to bill medicare on her behalf.

Entity Name	Mid-columbia Family Physicians Ps
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699704676 PECOS PAC ID: 1658268875 Enrollment ID: O20040302001288

Entity Name	One Community Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376221259 PECOS PAC ID: 6305759283 Enrollment ID: O20240222000329

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. Mrs Tessa Waterbury 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
Mrs Tessa Waterbury Wallace, LCSW 849 Pacific Ave, Hood River, OR 97031-1956 Ph: () -	Mrs Tessa Waterbury Wallace, LCSW 65371 Hwy 14, White Salmon, WA 98672-9867 Ph: (509) 493-2133

Reviews and Comments

Social Worker in White Salmon, WA

Jennifer Szolnoki, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 70 Estes Ave, White Salmon, WA 98672 Phone: 509-281-1008
Katherine Pierce Alton, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 410 E Jewett Blvd, White Salmon, WA 98672 Phone: 541-402-1021
Leslie Aragon, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 176 E Jewett Blvd, White Salmon, WA 98672 Phone: 509-262-5753
Leslie Knight, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 432 Ne Tohomish St, White Salmon, WA 98672 Phone: 509-575-4084

Mrs Tessa Waterbury Wallace, LCSW - Medicare Clinical Social Worker in White Salmon, WA