Mr John Charles Blakely Wall, DC in Chattanooga, TN

Mr John Charles Blakely Wall, DC is a medicare enrolled "Chiropractor" provider in Chattanooga, Tennessee. His current practice location is 1334 Mackey Branch Dr, Suite 104, Chattanooga, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 296-2604.

Mr John Charles Blakely Wall is licensed to practice in Georgia (license number CHIR005485) 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 1972694396.

Contact Information

	Mr John Charles Blakely Wall, DC
	1334 Mackey Branch Dr, Suite 104, Chattanooga, TN 37421-3471
	(423) 296-2604
	(423) 296-2607

Map and Direction

Healthcare Provider's Profile

Full Name	Mr John Charles Blakely Wall
Gender	Male
Speciality	Chiropractor
Location	1334 Mackey Branch Dr, Chattanooga, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972694396
Provider Enumeration Date: 09/28/2006
Last Update Date: 05/25/2016

Medicare PECOS Information:

PECOS PAC ID: 7416843974
Enrollment ID: I20090708000809

Medical Identifiers

Medical identifiers for Mr John Charles Blakely Wall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972694396	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	CHIR005485 (Georgia)	Primary
111N00000X	Chiropractor	DC0000001504 (Tennessee)	Secondary

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 John Charles Blakely Wall allows following entities to bill medicare on his behalf.

Provider Name	The Chattanooga Spine And Wellness Institute, Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1043499700 PECOS PAC ID: 6608762158 Enrollment ID: O20161212000400

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 John Charles Blakely 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 John Charles Blakely Wall, DC 1334 Mackey Branch Dr, Suite 104, Chattanooga, TN 37421-3471 Ph: (423) 296-2604	Mr John Charles Blakely Wall, DC 1334 Mackey Branch Dr, Suite 104, Chattanooga, TN 37421-3471 Ph: (423) 296-2604

Reviews and Comments

Chiropractor in Chattanooga, TN

Dr. Raymond Andrew Maucere, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 3600 Hixson Pike, Suite 114, Chattanooga, TN 37415 Phone: 423-875-6555 Fax: 423-875-6567
100 Percent Chiropractic Christoffer Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 1309 Panorama Dr Ste 115, Chattanooga, TN 37421 Phone: 423-541-3771
Chattanooga Sports Chiropractic Institute, Pllc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1200 Mountain Creek Rd Ste 430, Chattanooga, TN 37405 Phone: 423-815-1433
Dr. Danny Ray Twilley, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 4830 Highway 58, Suite 14, Chattanooga, TN 37416 Phone: 423-899-6941 Fax: 423-499-8753
Southeast Center For Bone And Joint Chiropractor Medicare: Medicare Enrolled Practice Location: 1334 Mackey Branch Drive, Suite 103, Chattanooga, TN 37421 Phone: 423-296-2604 Fax: 423-296-2607
True Wellness Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 6102 Shallowford Rd, Suite 103, Chattanooga, TN 37421 Phone: 423-475-6438 Fax: 423-475-6407
Dr. Terrance M Eyerly Jr., DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1829 Gunbarrel Rd Ste 107, Chattanooga, TN 37421 Phone: 423-541-1835

Mr John Charles Blakely Wall, DC - Medicare Chiropractor in Chattanooga, TN