| Brian Keith Wall, MD | |
|
2301 S Lamar Blvd, Oxford, MS 38655-5373 | |
| (662) 232-8568 | |
| (662) 513-1450 |
| Full Name | Brian Keith Wall |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 32 Years |
| Location | 2301 S Lamar Blvd, Oxford, Mississippi |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326060070 | NPI | - | NPPES |
| 00680358 | Medicaid | MS | |
| 891057P | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 9701190 (North Carolina) | Secondary |
| 208M00000X | Hospitalist | 20143 (Mississippi) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Panola Physician Group Llc | 2668715624 | 14 |
| Entity Name | Alliance Healthcare System, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821143256 PECOS PAC ID: 2961489547 Enrollment ID: O20040701000719 |
| Entity Name | Panola Physician Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528528874 PECOS PAC ID: 2668715624 Enrollment ID: O20190515002618 |
| Entity Name | Mississippi Ltac Holdings, Llc |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1144983685 PECOS PAC ID: 5395135677 Enrollment ID: O20220809001499 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Keith Wall, MD P.o. Box 405827, Atlanta, GA 30384-5827 Ph: (870) 934-5821 | Brian Keith Wall, MD 2301 S Lamar Blvd, Oxford, MS 38655-5373 Ph: (662) 232-8568 |
Brett C Lampton, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1100 Belk Blvd, Oxford, MS 38655 Phone: 662-832-4003 Fax: 804-612-5201 | |
Dr. Joella June Lambert, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1100 Belk Blvd, Oxford, MS 38655 Phone: 662-636-1000 | |
Mrs. Samantha Laurent Houston, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2301 S Lamar Blvd, Attn: Hospitalist Office, Oxford, MS 38655 Phone: 662-232-8100 |