Casey Wallis, LCPC is a medicare enrolled "Counselor - Professional" provider in Claycomo, Missouri. Her current practice location is
32 S Miriam St Apt 6, Claycomo, Missouri. You can reach out to her office (for appointments etc.) via phone at
(816) 701-9519.
Casey Wallis is licensed to practice in Kansas (license number 03938) 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 1669002747.
Healthcare Provider's Profile
| Full Name | Casey Wallis |
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| Gender | Female |
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| Speciality | Counselor - Professional |
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| Location | 32 S Miriam St Apt 6, Claycomo, Missouri |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1669002747
- Provider Enumeration Date: 01/17/2020
- Last Update Date: 03/27/2025
Medicare PECOS Information:
- PECOS PAC ID: 3375054117
- Enrollment ID: I20250618000282
Medical Identifiers
Medical identifiers for Casey Wallis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1669002747 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YP2500X | Counselor - Professional | 03938 (Kansas) | 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. Casey Wallis allows following entities to bill medicare on her behalf.
| Entity Name | Mental Health Specialty Group KS PA |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063282390 PECOS PAC ID: 5991228165 Enrollment ID: O20250327003774 |
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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. Casey Wallis 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 |
Casey Wallis, LCPC 32 S Miriam St Apt 6, Claycomo, MO 64119-3141 Ph: (816) 701-9519 | Casey Wallis, LCPC 32 S Miriam St Apt 6, Claycomo, MO 64119-3141 Ph: (816) 701-9519 |
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