MR. SAM LOC WALLACE L.P.C.
NPI 1811169451
Counselor - Professional in Fayetteville, AR
About Mr. Sam Loc Wallace L.p.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. SAM LOC WALLACE L.P.C. (NPI 1811169451) is an individual professional provider in Fayetteville, Arkansas, licensed in Arkansas (P0702007) and active in the NPI registry since March 2008. He has opted out of Medicare through January 3, 2028.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Mr. Sam Loc Wallace L.p.c. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 3, 2024 through January 3, 2028.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FAYETTEVILLE, AR 72703
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Sam Wallace's NPI number?
The NPI number for Sam Wallace is 1811169451. It was assigned to this individual provider in the NPPES registry on March 24, 2008.
Where is Sam Wallace located?
Sam Wallace practices at 1845 N Green Acres Rd, Fayetteville, AR 72703. The listed phone number is (479) 957-8546.
What is Sam Wallace's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Sam Wallace enrolled in Medicare?
No. Sam Wallace has opted out of Medicare through January 3, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
What insurance does Sam Wallace accept?
Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Sam Wallace as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Sam Wallace was last updated on April 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
