Mr Kevin Alan Wall, FNP in Vestal, NY - Medicare Nurse Practitioner

Mr Kevin Alan Wall, FNP is a medicare enrolled "Nurse Practitioner - Family" in Vestal, New York. His current practice location is 200 Front St Ste C, Vestal, New York. You can reach out to his office (for appointments etc.) via phone at (607) 239-5694.

Mr Kevin Alan Wall is licensed to practice in New York (license number 344995) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1386292357.

Contact Information

	Mr Kevin Alan Wall, FNP
	200 Front St Ste C, Vestal, NY 13850-1559
	(607) 239-5694
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Kevin Alan Wall
Gender	Male
Speciality	Nurse Practitioner - Family
Location	200 Front St Ste C, Vestal, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386292357
Provider Enumeration Date: 09/03/2019
Last Update Date: 09/03/2019

Medicare PECOS Information:

PECOS PAC ID: 6305275199
Enrollment ID: I20200330002711

Medical Identifiers

Medical identifiers for Mr Kevin Alan Wall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386292357	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	344995 (New York)	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. Mr Kevin Alan Wall allows following entities to bill medicare on his behalf.

Entity Name	New York General Medical Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700315538 PECOS PAC ID: 7810255494 Enrollment ID: O20180103003151

Entity Name	Brookview Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871965855 PECOS PAC ID: 9537420450 Enrollment ID: O20180309000532

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. Mr Kevin Alan Wall 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
Mr Kevin Alan Wall, FNP 3011 State Route 41, Cincinnatus, NY 13040-2215 Ph: (607) 345-9992	Mr Kevin Alan Wall, FNP 200 Front St Ste C, Vestal, NY 13850-1559 Ph: (607) 239-5694

Reviews and Comments

Nurse Practitioner Nurses in Vestal, NY

Ying Fang Zhao, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 404 Apine Drive, Vestal, NY 13850 Phone: 917-238-7372
Ms. Kathryn Ellen Ericksen, GNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3700 Old Vestal Rd, Vestal, NY 13850 Phone: 607-221-2745
Susan Wenzinger, ANPC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4513 Old Vestal Rd, Vestal, NY 13850 Phone: 607-729-7001
Erica Tokos, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4417 Vestal Pkwy E, Vestal, NY 13850 Phone: 607-729-2144 Fax: 607-729-2145
Chloe A Pusey, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4104 Vestal Rd, Vestal Executive Park Suite 203, Vestal, NY 13850 Phone: 607-797-9036 Fax: 607-798-0601
Aline Stabler, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4417 Vestal Pkwy E, Vestal, NY 13850 Phone: 607-729-2144 Fax: 607-729-2145
Mackenzie Hartmann, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4417 Vestal Pkwy E, Vestal, NY 13850 Phone: 607-770-7635 Fax: 607-729-5882

Mr Kevin Alan Wall, FNP - Medicare Nurse Practitioner in Vestal, NY