Colleen Bridget Wallace, MS, CCC-SLP in Anchorage, AK - Medicare Speech-Language Pathologist Provider

Colleen Bridget Wallace, MS, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Anchorage, Alaska. Her current practice location is 4050 Lake Otis Pkwy, Suite 201, Anchorage, Alaska. You can reach out to her office (for appointments etc.) via phone at (505) 489-7764.

Colleen Bridget Wallace is licensed to practice in Alaska (license number 489) 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 1427440387.

Contact Information

	Colleen Bridget Wallace, MS, CCC-SLP
	4050 Lake Otis Pkwy, Suite 201, Anchorage, AK 99508-5223
	(505) 489-7764
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Colleen Bridget Wallace
Gender	Female
Speciality	Speech-language Pathologist
Location	4050 Lake Otis Pkwy, Anchorage, Alaska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427440387
Provider Enumeration Date: 03/02/2015
Last Update Date: 04/06/2022

Medicare PECOS Information:

PECOS PAC ID: 3577959881
Enrollment ID: I20220413000160

Medical Identifiers

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

Identifier	Type	State	Issuer
1427440387	NPI	-	NPPES
1031087	Medicaid	AK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	489 (Alaska)	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. Colleen Bridget Wallace allows following entities to bill medicare on her behalf.

Provider Name	Far North Health Services Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1548927510 PECOS PAC ID: 3375935216 Enrollment ID: O20220126001500

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. Colleen Bridget 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
Colleen Bridget Wallace, MS, CCC-SLP 2201 Romig Pl, # 406, Anchorage, AK 99503-1680 Ph: (505) 489-7764	Colleen Bridget Wallace, MS, CCC-SLP 4050 Lake Otis Pkwy, Suite 201, Anchorage, AK 99508-5223 Ph: (505) 489-7764

Reviews and Comments

Speech-Language Pathologist in Anchorage, AK

Kathryn Cross, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 12350 Industry Way, 202, Anchorage, AK 99515 Phone: 907-301-4588
Tracey Keaton, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6927 Old Seward Hwy Ste 100, Anchorage, AK 99518 Phone: 907-345-0050
Christal Hays, MS CCC SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 4441 Diplomacy Dr, Anchorage, AK 99508 Phone: 907-729-8800
Mrs. Lisa J.c. Rayes, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4048 Laurel St Ste 303, Anchorage, AK 99508 Phone: 907-562-4550
Lian Liew Tan, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4155 Tudor Centre Dr, Suite #103, Anchorage, AK 99508 Phone: 907-854-8624
Mrs. Yvonne Marie San Juan, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4241 B St Ste 301, Anchorage, AK 99503 Phone: 907-727-0935 Fax: 907-276-7529
Speak From The Heart Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3351 W 84th Ave, Anchorage, AK 99502 Phone: 907-390-0492

Colleen Bridget Wallace, MS, CCC-SLP - Medicare Speech-Language Pathologist in Anchorage, AK