Derek Brian Wall, MD in Dover, NH - Medicare General Surgery

Derek Brian Wall, MD is a medicare enrolled "Surgery" physician in Dover, New Hampshire. He graduated from medical school in 1996 and has 29 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Portsmouth Trauma And Surgical Care, Llc and his current practice location is 789 Central Ave, Dover, New Hampshire. You can reach out to his office (for appointments etc.) via phone at (603) 749-2266.

Derek Brian Wall is licensed to practice in New Hampshire (license number 24630) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1518937085.

Contact Information

	Derek Brian Wall, MD
	789 Central Ave, Dover, NH 03820-2526
	(603) 749-2266
	Not Available

Map and Direction

Physician's Profile

Full Name	Derek Brian Wall
Gender	Male
Speciality	General Surgery
Experience	29 Years
Location	789 Central Ave, Dover, New Hampshire
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Derek Brian Wall graduated from medical school in 1996

NPI Data:

NPI Number: 1518937085
Provider Enumeration Date: 01/25/2006
Last Update Date: 07/21/2025

Medicare PECOS Information:

PECOS PAC ID: 1951404326
Enrollment ID: I20240117004309

Medical Identifiers

Medical identifiers for Derek Brian Wall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518937085	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	A64368 (California)	Secondary
2086S0127X	Surgery - Trauma Surgery	52043-20 (Wisconsin)	Secondary
208600000X	Surgery	24630 (New Hampshire)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Portsmouth Regional Hospital	Portsmouth, NH	Hospital
Frisbie Memorial Hospital	Rochester, NH	Hospital
Parkland Medical Center	Derry, NH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Portsmouth Trauma And Surgical Care, Llc	7012375819	14

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. Derek Brian Wall allows following entities to bill medicare on his behalf.

Entity Name	Parkland Physician Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144388737 PECOS PAC ID: 1254226517 Enrollment ID: O20040716000991

Entity Name	Portsmouth Trauma And Surgical Care, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770296659 PECOS PAC ID: 7012375819 Enrollment ID: O20230627002013

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. Derek Brian 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
Derek Brian Wall, MD Po Box 412503, Boston, MA 02241-2503 Ph: () -	Derek Brian Wall, MD 789 Central Ave, Dover, NH 03820-2526 Ph: (603) 749-2266

Reviews and Comments

Surgery Doctors in Dover, NH

Amanda Mueller, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 789 Central Ave, Dover, NH 03820 Phone: 603-749-2266
Dr. Jessica Robin Schnur, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 789 Central Ave, Dover, NH 03820 Phone: 603-749-2266
Ritoban Sen, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 10 Members Way Ste 301, Dover, NH 03820 Phone: 603-516-4265
Joseph Anthony Rodriguez, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 750 Central Ave, Suite N, Dover, NH 03820 Phone: 603-749-2266 Fax: 603-749-3019
Patricia A Auty, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 789 Central Ave, Dover, NH 03820 Phone: 603-749-2266
Peter S Hedberg, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 750 Central Avenue, Suite N, Dover, NH 03820 Phone: 603-749-2266 Fax: 603-749-3019
Stephen M Gemmett, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 19 Old Rollinsford Rd, Building B, Dover, NH 03820 Phone: 603-516-4265 Fax: 603-740-2173

Derek Brian Wall, MD - Medicare General Surgery in Dover, NH