Layla Rose Wall, RD is a medicare enrolled "Dietitian, Registered" provider in Peridot, Arizona. She graduated from medical school in 2012 and has 13 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. She is a member of the group practice Red Mountain Dietitian Services Llc and her current practice location is
103 Medicine Road, Peridot, Arizona. You can reach out to her office (for appointments etc.) via phone at
(928) 475-1467.
Layla Rose Wall is licensed to practice in New Mexico (license number LD-0902) 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 1134768963.
Healthcare Provider's Profile
| Full Name | Layla Rose Wall |
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| Gender | Female |
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| Speciality | Registered Dietitian Or Nutrition Professional |
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| Experience | 13 Years |
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| Location | 103 Medicine Road, Peridot, Arizona |
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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:
- Layla Rose Wall graduated from medical school in 2012
NPI Data:
- NPI Number: 1134768963
- Provider Enumeration Date: 12/26/2019
- Last Update Date: 12/26/2019
Medicare PECOS Information:
- PECOS PAC ID: 7810335478
- Enrollment ID: I20240904001916
Medical Identifiers
Medical identifiers for Layla Rose Wall such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1134768963 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | LD-0902 (New Mexico) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Red Mountain Dietitian Services Llc | 8224370457 | 7 |
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. Layla Rose Wall allows following entities to bill medicare on her behalf.
| Provider Name | Red Mountain Dietitian Services Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1598221053
PECOS PAC ID: 8224370457
Enrollment ID: O20190508001747 |
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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. Layla Rose 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 |
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Layla Rose Wall, RD
226 Natalie Ave Nw,
Albuquerque, NM 87107-5237
Ph: (505) 967-8768 | Layla Rose Wall, RD
103 Medicine Road,
Peridot, AZ 85542
Ph: (928) 475-1467 |
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