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

Jacquelyn Lee Vander Wall, MD is a medicare enrolled "Internal Medicine - Geriatric Medicine" physician in Irvine, California. She went to University Of California, San Francisco School Of Medicine and graduated in 1987 and has 37 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Centers For Family Medicine and her current practice location is 11 Technology Dr, Irvine, California. You can reach out to her office (for appointments etc.) via phone at (949) 923-3250.

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
	11 Technology Dr, Irvine, CA 92618-2302
	(949) 923-3250
	(855) 812-5865

Map and Direction

Physician's Profile

Full Name	Jacquelyn Lee Vander Wall
Gender	Female
Speciality	Internal Medicine
Experience	37 Years
Location	11 Technology Dr, Irvine, 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: 09/13/2017

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

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Long Beach Memorial Medical Center	Long beach, CA	Hospital
Los Alamitos Medical Center	Los alamitos, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Centers For Family Medicine	9931143799	122

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
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 3460 Katella Ave, Los Alamitos, CA 90720-2334 Ph: (562) 594-6599	Jacquelyn Lee Vander Wall, MD 11 Technology Dr, Irvine, CA 92618-2302 Ph: (949) 923-3250

Reviews and Comments

Internal Medicine Doctors in Irvine, CA

Akbar Nassiry, M.D., M.P.H. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 4000 Barranca Parkway, Ste. 250, Irvine, CA 92604 Phone: 949-577-0047 Fax: 909-635-6085
Omid Vesal, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 Alton Parkway, Suite 101, Irvine, CA 92606 Phone: 949-222-2722 Fax: 949-222-9969
Dr. Maria Teresa Corpin Agner, MD Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 11 Technology Dr, Irvine, CA 92618 Phone: 855-206-6764 Fax: 949-923-3575
Dr. Susan Davoodifar, M.D. Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 4199 Campus Dr, Suite 550, Irvine, CA 92612 Phone: 949-509-6503 Fax: 949-326-0103
Randa Serag, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 4708 Barranca Pkwy, Irvine, CA 92604 Phone: 949-791-3101 Fax: 949-791-3112
Tara E Seery, Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 16105 Sand Canyon Ave Ste 230, Irvine, CA 92618 Phone: 949-764-5347 Fax: 949-557-0221
Nadir Yusaf Qazi, DO Geriatric Medicine Medicare: Medicare Enrolled Practice Location: 113 Waterworks Way Ste 105, Irvine, CA 92618 Phone: 949-336-7293

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