Roger A Wallace, MA is a
Psychologist based in Arden, North Carolina. Roger A Wallace is licensed to practice in North Carolina (license number 1179) and his current practice location is
410 Mills Gap Rd., Arden, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(828) 654-0111.
NPI number for Roger A Wallace is 1053501783 and his current mailing address is Po Box 127, Arden, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1053501783.
Healthcare Provider's Profile
| Full Name | Roger A Wallace |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist |
|---|
| Location | 410 Mills Gap Rd., Arden, North Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1053501783
- Provider Enumeration Date: 07/30/2007
- Last Update Date: 10/16/2008
Medical Identifiers
Medical identifiers for Roger A Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053501783 | NPI | - | NPPES |
| 6107178 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | 1179 (North Carolina) | 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. Roger A Wallace is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Roger A Wallace, MA
Po Box 127,
Arden, NC 28704-0127
Ph: (828) 654-0111 | Roger A Wallace, MA
410 Mills Gap Rd.,
Arden, NC 28704
Ph: (828) 654-0111 |
Reviews and Comments