Diana Lee Wall, MA, LPC in Broken Arrow, OK - Medicare Counselor Provider

Diana Lee Wall, MA, LPC is a medicare enrolled "Counselor - Mental Health" provider in Broken Arrow, Oklahoma. Her current practice location is 1217 E College St, Broken Arrow, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 259-1462.

Diana Lee Wall is licensed to practice in Oklahoma (license number 6542) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1154847663.

Contact Information

	Diana Lee Wall, MA, LPC
	1217 E College St, Broken Arrow, OK 74012-4204
	(918) 259-1462
	(918) 259-1444

Map and Direction

Healthcare Provider's Profile

Full Name	Diana Lee Wall
Gender	Female
Speciality	Counselor - Mental Health
Location	1217 E College St, Broken Arrow, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154847663
Provider Enumeration Date: 08/16/2017
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 9032568498
Enrollment ID: I20231211000986

Medical Identifiers

Medical identifiers for Diana Lee Wall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154847663	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	6542 (Oklahoma)	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. Diana Lee Wall allows following entities to bill medicare on her behalf.

Entity Name	Deer Oaks Mental Health Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134175763 PECOS PAC ID: 2264337013 Enrollment ID: O20130413000082

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. Diana Lee 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
Diana Lee Wall, MA, LPC 1217 E College St, Broken Arrow, OK 74012-4204 Ph: (918) 259-1462	Diana Lee Wall, MA, LPC 1217 E College St, Broken Arrow, OK 74012-4204 Ph: (918) 259-1462

Reviews and Comments

Counselor in Broken Arrow, OK

Miss Ashley R Wale, MHR ,LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3112 S Nyssa Ave, Broken Arrow, OK 74012 Phone: 918-813-6684
Ms. Edwyna Warrior Walker, BSED MED Counselor Medicare: Not Enrolled in Medicare Practice Location: 2700 N 7th St, Apt. 1214, Broken Arrow, OK 74012 Phone: 918-869-8200
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Robin Lynn Mayo, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 514 W Atlanta St, Broken Arrow, OK 74012 Phone: 918-280-9104 Fax: 918-609-2850
Fady Srour, M.A, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 19426 E 49th St S, Broken Arrow, OK 74014 Phone: 918-355-4253
Lorena I Salas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 19915 E 37th St S, Broken Arrow, OK 74014 Phone: 918-313-5304
Stacy Lynn Mitchell, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2035 W. Houson St., Suite A, Broken Arrow, OK 74012 Phone: 918-836-0239

Diana Lee Wall, MA, LPC - Medicare Counselor in Broken Arrow, OK