Angela B Wallenbrock, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Powell, Ohio. Her current practice location is
1570 Heatherwae Loop, Powell, Ohio. You can reach out to her office (for appointments etc.) via phone at
(614) 432-6410.
Angela B Wallenbrock is licensed to practice in Ohio (license number 35049858W) 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 1215907332.
Physician's Profile
| Full Name | Angela B Wallenbrock |
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| Gender | Female |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 1570 Heatherwae Loop, Powell, Ohio |
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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: 1215907332
- Provider Enumeration Date: 01/23/2006
- Last Update Date: 10/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 0547173668
- Enrollment ID: I20031106000063
Medical Identifiers
Medical identifiers for Angela B Wallenbrock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1215907332 | NPI | - | NPPES |
| 0599320 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 35049858W (Ohio) | 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. Angela B Wallenbrock 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 |
Angela B Wallenbrock, MD 1570 Heatherwae Loop, Powell, OH 43065-9363 Ph: (614) 432-6410 | Angela B Wallenbrock, MD 1570 Heatherwae Loop, Powell, OH 43065-9363 Ph: (614) 432-6410 |
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