Carly Wallner, in Port Washington, WI - Medicare Counselor Provider

Carly Wallner, is a medicare enrolled "Counselor - Mental Health" provider in Port Washington, Wisconsin. Her current practice location is 121 W Main St, Port Washington, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 238-8130.

Carly Wallner is licensed to practice in Wisconsin (license number 8355-125) 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 1801525795.

Contact Information

	Carly Wallner,
	121 W Main St, Port Washington, WI 53074-1813
	(262) 238-8130
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Carly Wallner
Gender	Female
Speciality	Counselor - Mental Health
Location	121 W Main St, Port Washington, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801525795
Provider Enumeration Date: 06/07/2022
Last Update Date: 07/10/2024

Medicare PECOS Information:

PECOS PAC ID: 3375919921
Enrollment ID: I20240110003038

Medical Identifiers

Medical identifiers for Carly Wallner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801525795	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	8355-125 (Wisconsin)	Primary
101YP2500X	Counselor - Professional	8355-125 (Wisconsin)	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. Carly Wallner allows following entities to bill medicare on her behalf.

Entity Name	County Of Ozaukee
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609867001 PECOS PAC ID: 5698737450 Enrollment ID: O20041103000458

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. Carly Wallner 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
Carly Wallner, 121 W Main St, Port Washington, WI 53074-1813 Ph: () -	Carly Wallner, 121 W Main St, Port Washington, WI 53074-1813 Ph: (262) 238-8130

Reviews and Comments

Counselor in Port Washington, WI

Mrs. Ashley Ann Schmitz, LPC, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 127 N Franklin St Ste 206, Port Washington, WI 53074 Phone: 262-235-4385 Fax: 414-310-0377
Jessica Ollman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 W Main St, Port Washington, WI 53074 Phone: 262-284-8148 Fax: 262-284-8209
Mrs. Heather Lynn Carlson, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 W Main St, Port Washington, WI 53074 Phone: 262-284-8229 Fax: 262-284-8104
Marcy Drummy, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1317 W Grand Ave, Port Washington, WI 53074 Phone: 262-284-5789 Fax: 262-284-5907
Austin Schultz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1317 W Grand Ave Ste 6, Port Washington, WI 53074 Phone: 262-427-8905
Bonnie Halper, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1317 W Grand Ave, Port Washington, WI 53074 Phone: 262-284-5789 Fax: 262-284-5907
Marissa Alexandra Duncan, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1317 W Grand Ave Ste 6, Port Washington, WI 53074 Phone: 262-427-8905

Carly Wallner, - Medicare Counselor in Port Washington, WI