| April D Wallace, PSYD | |
|
235 E State St, Saint Croix Falls, WI 54024-4117 | |
| (715) 483-3221 | |
| (715) 483-0507 |
| Full Name | April D Wallace |
|---|---|
| Gender | Female |
| Speciality | Clinical Psychologist |
| Experience | 27 Years |
| Location | 235 E State St, Saint Croix Falls, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629177480 | NPI | - | NPPES |
| 0413704 | Other | MEDICA | |
| 2189057 | Other | WI | WI STATE LICENSE |
| 27G52WA | Other | MN | BLUE CROSS FACILITY |
| HP27845 | Other | HEALTHPARTNERS | |
| 39129500 | Medicaid | WI | |
| 47386934001 | Other | WI | WI BLUE CROSS |
| 474668299 | Other | CHAMPUS TRICARE | |
| 64Q42WA | Other | MN | BLUE CROSS PRO FEE |
| LP2603 | Other | MN | MN STATE LICENSE |
| 596713900 | Medicaid | MN | |
| 680012001 | Other | RAILROAD MEDICARE | |
| NA9031022307 | Other | PREFERREDONE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 2189-057 (Wisconsin) | Primary |
| 103T00000X | Psychologist | LP2603 (Minnesota) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St. Croix Regional Medical Center | 9335032184 | 109 |
| Entity Name | St. Croix Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043240922 PECOS PAC ID: 9335032184 Enrollment ID: O20040205000217 |
| Mailing Address | Practice Location Address |
|---|---|
| April D Wallace, PSYD 235 E State St, Saint Croix Falls, WI 54024-4117 Ph: (715) 483-3221 | April D Wallace, PSYD 235 E State St, Saint Croix Falls, WI 54024-4117 Ph: (715) 483-3221 |
Colleen E Erb, PSY. D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 235 E State St, Saint Croix Falls, WI 54024 Phone: 715-483-3221 Fax: 715-483-0507 | |
Patricia A Fettes, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 235 E State St, Saint Croix Falls, WI 54024 Phone: 715-483-3221 Fax: 715-483-0507 | |
Ms. Sharon Anne Ward, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 220 E Connecticut St, Saint Croix Falls, WI 54024 Phone: 952-491-4490 | |
Bradley G Nevins, PHD Psychologist Medicare: May Accept Medicare Assignments Practice Location: 204 S Adams St, Saint Croix Falls, WI 54024 Phone: 715-483-3221 | |
Erika Collier Wight, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 235 E State St, Saint Croix Falls, WI 54024 Phone: 715-483-3221 Fax: 715-483-0507 | |
Holly Andrea Bailey, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 204 S Adams St, Saint Croix Falls, WI 54024 Phone: 715-483-3221 Fax: 715-483-0507 |