Dr Jesse Wallace, PHD is a medicare enrolled "Marriage & Family Therapist" provider in Nolanville, Texas. He graduated from healthcare school in 2020 and has 6 years of diverse experience with area of expertise as Marriage And Family Therapist. His current practice location is
2010 Bluff Dr, Nolanville, Texas. You can reach out to his office (for appointments etc.) via phone at
(760) 443-7154.
Dr Jesse Wallace is licensed to practice in Texas (license number 206370) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1154278497.
Healthcare Provider's Profile
| Full Name | Dr Jesse Wallace |
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| Gender | Male |
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| Speciality | Marriage And Family Therapist |
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| Experience | 6 Years |
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| Location | 2010 Bluff Dr, Nolanville, Texas |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jesse Wallace graduated from medical school in 2020
NPI Data:
- NPI Number: 1154278497
- Provider Enumeration Date: 03/16/2026
- Last Update Date: 03/16/2026
Medicare PECOS Information:
- PECOS PAC ID: 8921576364
- Enrollment ID: I20260505001281
Medical Identifiers
Medical identifiers for Dr Jesse Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154278497 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 106H00000X | Marriage & Family Therapist | 206370 (Texas) | Primary |
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. Dr Jesse 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 |
|---|
Dr Jesse Wallace, PHD
2010 Bluff Dr,
Nolanville, TX 76559-0050
Ph: (760) 443-7154 | Dr Jesse Wallace, PHD
2010 Bluff Dr,
Nolanville, TX 76559-0050
Ph: (760) 443-7154 |
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