Vicki R Wallace, MS, CCC-A - Audiologist in Fairmont, WV

Vicki R Wallace, MS, CCC-A is a Audiologist based in Fairmont, West Virginia. Vicki R Wallace is licensed to practice in West Virginia (license number A-0039) and her current practice location is 200 Gaston Ave, Fairmont, West Virginia. She can be reached at her office (for appointments etc.) via phone at (304) 624-6554.

NPI number for Vicki R Wallace is 1447420484 and her current mailing address is 200 Gaston Ave, Fairmont, West Virginia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1447420484.

Contact Information

Vicki R Wallace, MS, CCC-A
200 Gaston Ave,
Fairmont, WV 26554-2739
(304) 624-6554
(304) 624-5223



Healthcare Provider's Profile

Full NameVicki R Wallace
GenderFemale
SpecialityAudiologist
Location200 Gaston Ave, Fairmont, West Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1447420484
  • Provider Enumeration Date: 03/05/2008
  • Last Update Date: 03/05/2008

Medical Identifiers

Medical identifiers for Vicki R Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447420484NPI-NPPES
0160325000MedicaidWV

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
231H00000XAudiologist A-0039 (West Virginia)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. Vicki R 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 AddressPractice Location Address
Vicki R Wallace, MS, CCC-A
200 Gaston Ave,
Fairmont, WV 26554-2739

Ph: (304) 624-6554
Vicki R Wallace, MS, CCC-A
200 Gaston Ave,
Fairmont, WV 26554-2739

Ph: (304) 624-6554

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› Verified 1 days ago


Audiologist in Fairmont, WV

Anna Sampson,
Audiologist
Medicare: Medicare Enrolled
Practice Location: 719 Fairmont Ave Ste 203, Fairmont, WV 26554
Phone: 304-366-7314    
White Hall Hearing Care
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: 177 Middletown Rd Ste 5, White Hall Professional Complex, Fairmont, WV 26554
Phone: 304-516-3824    
Dr. Melissa Ann Carnes Rose, AUD
Audiologist
Medicare: Accepting Medicare Assignments
Practice Location: 57 Tamarack Ln, Fairmont, WV 26554
Phone: 304-825-6689    
Ms. Barbara A Litton Cox, MS, CCC/A
Audiologist
Medicare: Medicare Enrolled
Practice Location: 177 Middletown Rd Ste 5, White Hall Professional Complex, Fairmont, WV 26554
Phone: 304-516-3824    

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