Kasie Wallace, MA, LMHC, QS in Altamonte Springs, FL

Kasie Wallace, MA, LMHC, QS is a medicare enrolled "Counselor - Mental Health" provider in Altamonte Springs, Florida. Her current practice location is 420 Ridgewood St, Altamonte Springs, Florida. You can reach out to her office (for appointments etc.) via phone at (407) 205-7584.

Kasie Wallace is licensed to practice in Florida (license number MH17915) 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 1477063410.

Contact Information

	Kasie Wallace, MA, LMHC, QS
	420 Ridgewood St, Altamonte Springs, FL 32701-7822
	(407) 205-7584
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kasie Wallace
Gender	Female
Speciality	Counselor - Mental Health
Location	420 Ridgewood St, Altamonte Springs, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477063410
Provider Enumeration Date: 10/04/2017
Last Update Date: 12/19/2025

Medicare PECOS Information:

PECOS PAC ID: 8022557263
Enrollment ID: I20240830003744

Medical Identifiers

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

Identifier	Type	State	Issuer
1477063410	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	MH17915 (Florida)	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. Kasie Wallace allows following entities to bill medicare on her behalf.

Entity Name	Optum Behavioral Care Of North Carolina Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033984448 PECOS PAC ID: 5092120030 Enrollment ID: O20240401000110

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. Kasie 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
Kasie Wallace, MA, LMHC, QS 420 Ridgewood St, Altamonte Springs, FL 32701-7822 Ph: (407) 205-7584	Kasie Wallace, MA, LMHC, QS 420 Ridgewood St, Altamonte Springs, FL 32701-7822 Ph: (407) 205-7584

Reviews and Comments

Counselor in Altamonte Springs, FL

Melissa Bustillo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 385 Centerpointe Cir Ste 1301, Altamonte Springs, FL 32701 Phone: 800-509-3090
Mr. Derek Franklin Williams, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 801 Douglas Ave, Suite 208, Altamonte Springs, FL 32714 Phone: 407-830-6412
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Debra Cooper Lynch, RMHCI Counselor Medicare: Not Enrolled in Medicare Practice Location: 465 Maitland Ave # 16, Altamonte Springs, FL 32701 Phone: 321-616-7225 Fax: 407-598-7797
Corrilee Wilkins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 801 Douglas Ave, Altamonte Springs, FL 32714 Phone: 407-830-6412
Bartolome E Colom, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 452 Osceola St, Suite 101, Altamonte Springs, FL 32701 Phone: 407-782-5525 Fax: 386-943-9976
Tona Bonilla, Counselor Medicare: Not Enrolled in Medicare Practice Location: 901 Douglas Ave Ste 100, Altamonte Springs, FL 32714 Phone: 321-972-4265

Kasie Wallace, MA, LMHC, QS - Medicare Counselor in Altamonte Springs, FL