Dr Krystle E Lieberman Wall, DC, RD, LD, CBS LC is a medicare enrolled "Chiropractor" provider in Golden Valley, Minnesota. She went to Northwestern College Of Chiropractic and graduated in 2009 and has 17 years of diverse experience with area of expertise as Chiropractic. She is a member of the group practice Advanced Medical Of Twin Cities, P.c. and her current practice location is
5801 Duluth St, Suite 150, Golden Valley, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(736) 541-1280.
Dr Krystle E Lieberman Wall is licensed to practice in Minnesota (license number 5317) 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 1699093021.
Healthcare Provider's Profile
| Full Name | Dr Krystle E Lieberman Wall |
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| Gender | Female |
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| Speciality | Chiropractic |
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| Experience | 17 Years |
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| Location | 5801 Duluth St, Golden Valley, Minnesota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Krystle E Lieberman Wall attended and graduated from Northwestern College Of Chiropractic in 2009
NPI Data:
- NPI Number: 1699093021
- Provider Enumeration Date: 05/10/2010
- Last Update Date: 09/08/2022
Medicare PECOS Information:
- PECOS PAC ID: 4385815240
- Enrollment ID: I20110926000414
Medical Identifiers
Medical identifiers for Dr Krystle E Lieberman Wall such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699093021 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | 2716 (Minnesota) | Secondary |
| 171100000X | Acupuncturist | 876 (Minnesota) | Secondary |
| 174N00000X | Lactation Consultant, Non-rn | (Minnesota) | Secondary |
| 111N00000X | Chiropractor | 5317 (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Advanced Medical Of Twin Cities, P.c. | 9436137643 | 2 |
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. Dr Krystle E Lieberman 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 |
|---|
Dr Krystle E Lieberman Wall, DC, RD, LD, CBS LC
5801 Duluth St, Suite 150,
Golden Valley, MN 55422-3958
Ph: (736) 541-1280 | Dr Krystle E Lieberman Wall, DC, RD, LD, CBS LC
5801 Duluth St, Suite 150,
Golden Valley, MN 55422-3958
Ph: (736) 541-1280 |
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