Aja Jeanette Wallace, LMHC in Honolulu, HI - Medicare Counselor Provider

Aja Jeanette Wallace, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Honolulu, Hawaii. Her current practice location is 447 Mananai Pl Apt T, Honolulu, Hawaii. You can reach out to her office (for appointments etc.) via phone at (808) 725-7519.

Aja Jeanette Wallace is licensed to practice in Hawaii (license number MHC648) 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 1306406228.

Contact Information

	Aja Jeanette Wallace, LMHC
	447 Mananai Pl Apt T, Honolulu, HI 96818-1872
	(808) 725-7519
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Aja Jeanette Wallace
Gender	Female
Speciality	Counselor - Mental Health
Location	447 Mananai Pl Apt T, Honolulu, Hawaii
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306406228
Provider Enumeration Date: 06/13/2019
Last Update Date: 05/15/2023

Medicare PECOS Information:

PECOS PAC ID: 2860844941
Enrollment ID: I20240115001481

Medical Identifiers

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

Identifier	Type	State	Issuer
1306406228	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	MHC648 (Hawaii)	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. Aja Jeanette Wallace allows following entities to bill medicare on her behalf.

Entity Name	Wellness Partners Hawaii Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609382340 PECOS PAC ID: 4183018559 Enrollment ID: O20220301000359

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. Aja Jeanette 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
Aja Jeanette Wallace, LMHC 447 Mananai Pl Apt T, Honolulu, HI 96818-1872 Ph: (808) 725-7519	Aja Jeanette Wallace, LMHC 447 Mananai Pl Apt T, Honolulu, HI 96818-1872 Ph: (808) 725-7519

Reviews and Comments

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Aja Jeanette Wallace, LMHC - Medicare Counselor in Honolulu, HI