Jacquelyn Lee Vander Wall, MD in Los Alamitos, CA

Jacquelyn Lee Vander Wall, MD is a medicare enrolled "Internal Medicine - Geriatric Medicine" physician in Los Alamitos, California. She went to University Of California, San Francisco School Of Medicine and graduated in 1987 and has 38 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Centers For Family Medicine Gp and her current practice location is 3460 Katella Ave, Los Alamitos, California. You can reach out to her office (for appointments etc.) via phone at (702) 579-3203.

Jacquelyn Lee Vander Wall is licensed to practice in California (license number G065045) 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 1699807792.

Contact Information

	Jacquelyn Lee Vander Wall, MD
	3460 Katella Ave, Los Alamitos, CA 90720-2334
	(702) 579-3203
	Not Available

Map and Direction

Physician's Profile

Full Name	Jacquelyn Lee Vander Wall
Gender	Female
Speciality	Internal Medicine
Experience	38 Years
Location	3460 Katella Ave, Los Alamitos, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jacquelyn Lee Vander Wall attended and graduated from University Of California, San Francisco School Of Medicine in 1987

NPI Data:

NPI Number: 1699807792
Provider Enumeration Date: 03/12/2007
Last Update Date: 11/30/2025

Medicare PECOS Information:

PECOS PAC ID: 6002871506
Enrollment ID: I20041123001272

Medical Identifiers

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

Identifier	Type	State	Issuer
1699807792	NPI	-	NPPES
00G65045G	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RG0300X	Internal Medicine - Geriatric Medicine	G065045 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Centers For Family Medicine Gp	9931143799	105

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. Jacquelyn Lee Vander Wall allows following entities to bill medicare on her behalf.

Entity Name	Centers For Family Medicine Gp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467598243 PECOS PAC ID: 9931143799 Enrollment ID: O20050614000191

Entity Name	Signify Health Medical Associates Of California Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124685169 PECOS PAC ID: 8325370570 Enrollment ID: O20191022000320

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. Jacquelyn Lee Vander 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
Jacquelyn Lee Vander Wall, MD Po Box 35380, Las Vegas, NV 89133-5380 Ph: (702) 579-3203	Jacquelyn Lee Vander Wall, MD 3460 Katella Ave, Los Alamitos, CA 90720-2334 Ph: (702) 579-3203

Reviews and Comments

Internal Medicine Doctors in Los Alamitos, CA

Moustafa Moataz Aboshady, M.D. Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 3751 Katella Ave, Los Alamitos, CA 90720 Phone: 928-854-9603
Dr. Jyoti Manohar Bakhru, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 3460 Katella Ave, Los Alamitos, CA 90720 Phone: 562-594-6599 Fax: 562-598-6220
Sarah Lynn Sandell, MD Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 3742 Katella Ave, Suite 302, Los Alamitos, CA 90720 Phone: 562-936-0292 Fax: 562-936-1943
Dr. Steven T. Forman, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 5300 Katella Ave, Los Alamitos, CA 90720 Phone: 562-430-7533 Fax: 562-430-8055
Carlos Arguedas, Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 5300 Katella Ave, Los Alamitos, CA 90720 Phone: 562-429-1200 Fax: 562-429-8070
Dr. Minh Tue Huynh, M.D. Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 3801 Katella Ave, Suite 207, Los Alamitos, CA 90720 Phone: 562-598-9745 Fax: 562-598-0355
Dr. Omid Vahdat, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 3801 Katella Ave, Suite 310, Los Alamitos, CA 90720 Phone: 562-598-0604 Fax: 562-598-1649

Jacquelyn Lee Vander Wall, MD - Medicare Internal Medicine in Los Alamitos, CA