Mrs Victoria Wallace, LCSW - Medicare Clinical Social Worker in Monroe, LA

Mrs Victoria Wallace, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Monroe, Louisiana. She graduated from medical school in 1994 and has 30 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Northeast Delta Human Services Authority and her current practice location is 112 Desirable Lane, Monroe, Louisiana. You can reach out to her office (for appointments etc.) via phone at (318) 651-9866.

Mrs Victoria Wallace is licensed to practice in Louisiana (license number 6772) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1326353442.

Contact Information

Mrs Victoria Wallace, LCSW
112 Desirable Lane,
Monroe, LA 71203
(318) 651-9866
Not Available



Healthcare Provider's Profile

Full NameMrs Victoria Wallace
GenderFemale
SpecialityClinical Social Worker
Experience30 Years
Location112 Desirable Lane, Monroe, Louisiana
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Victoria Wallace graduated from medical school in 1994
  NPI Data:
  • NPI Number: 1326353442
  • Provider Enumeration Date: 08/12/2010
  • Last Update Date: 08/12/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 2567851348
  • Enrollment ID: I20211117000120

Medical Identifiers

Medical identifiers for Mrs Victoria Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326353442NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 6772 (Louisiana)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northeast Delta Human Services Authority296172600511

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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. Mrs Victoria Wallace allows following entities to bill medicare on her behalf.
Entity NameNortheast Delta Human Services Authority
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033551833
PECOS PAC ID: 2961726005
Enrollment ID: O20150121001268

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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. Mrs Victoria 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 AddressPractice Location Address
Mrs Victoria Wallace, LCSW
112 Desirable Lane,
Monroe, LA 71203

Ph: (318) 651-9866
Mrs Victoria Wallace, LCSW
112 Desirable Lane,
Monroe, LA 71203

Ph: (318) 651-9866

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Social Worker in Monroe, LA

Nicole Cabello, LCSW-BACS
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1300 Hudson Ln Ste 15, Monroe, LA 71201
Phone: 318-309-1862    
Jada Leigh Ali, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 2100 Oliver Rd, Monroe, LA 71201
Phone: 318-329-9455    Fax: 318-329-9492
Mary Thoman, CLINICAL SOCIAL WORK
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 2210 Elizabeth St, Monroe, LA 71201
Phone: 318-330-7529    Fax: 318-330-7520
Ms. Sherry Lynn Free, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 208 Cole Ave, Monroe, LA 71203
Phone: 318-355-2761    Fax: 318-343-8915
Vonthisha C Wiley, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 422 Bunker Ln, Monroe, LA 71203
Phone: 318-497-3264    
Holly Carter, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 1691 Bienville Dr, Monroe, LA 71201
Phone: 318-998-7881    
Ms. Deborah Lynn Doublin, LCSW, LMFT
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 800 Washington St, Suite B-2, Monroe, LA 71201
Phone: 318-325-8782    Fax: 318-325-8749

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