Jessica Terress Evans-wall, MD in Albuquerque, NM

Jessica Terress Evans-wall, MD is a medicare enrolled "Emergency Medicine" physician in Albuquerque, New Mexico. Her current practice location is 2211 Lomas Blvd Ne, Albuquerque, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 272-5062.

Jessica Terress Evans-wall is licensed to practice in Oregon (license number MD211152) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1184187114.

Contact Information

	Jessica Terress Evans-wall, MD
	2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719
	(505) 272-5062
	Not Available

Map and Direction

Physician's Profile

Full Name	Jessica Terress Evans-wall
Gender	Female
Speciality	Emergency Medicine
Location	2211 Lomas Blvd Ne, Albuquerque, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184187114
Provider Enumeration Date: 04/08/2019
Last Update Date: 08/17/2022

Medicare PECOS Information:

PECOS PAC ID: 7911234984
Enrollment ID: I20220804000964

Medical Identifiers

Medical identifiers for Jessica Terress Evans-wall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184187114	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	M-16625 (Idaho)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(New Mexico)	Secondary
207P00000X	Emergency Medicine	MD211152 (Oregon)	Primary

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. Jessica Terress Evans-wall allows following entities to bill medicare on her behalf.

Entity Name	Cep America Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811357023 PECOS PAC ID: 6608056171 Enrollment ID: O20160803003292

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. Jessica Terress Evans-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
Jessica Terress Evans-wall, MD 1 University Of New Mexico, Albuquerque, NM 87131-2442 Ph: (505) 272-5062	Jessica Terress Evans-wall, MD 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 Ph: (505) 272-5062

Reviews and Comments

Emergency Medicine Doctors in Albuquerque, NM

Darren M Shafer, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: Pmg Emergency Medicine, 1101 Central Se, Albuquerque, NM 87106 Phone: 505-841-1125 Fax: 505-841-1737
Jessica Mitchell, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 University Of New Mexico, Department Of Emergency Medicine Msc 11 6025, Albuquerque, NM 87131 Phone: 505-272-5062
Nicholas Weiss, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2211 Lomas Blvd Ne, Albuquerque, NM 87106 Phone: 505-272-5062
Matthew D Poage, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5400 Gibson Blvd Se, Albuquerque, NM 87108 Phone: 904-805-1300 Fax: 904-805-1302
Matthew Wilks, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: Unm Department Of Emergency Medicine Msc11-6025, 1 University Of New Mexico, Albuquerque, NM 87131 Phone: 505-272-5062 Fax: 505-925-7290
Mr. Kyle I Schoenberger, NP Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3820 Commons Ave Ne, Albuquerque, NM 87109 Phone: 505-343-1711 Fax: 505-343-1862
Daniel M. Gee, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6400 Paseo Del Norte Blvd Ne, Albuquerque, NM 87113 Phone: 505-596-2100 Fax: 505-596-2180

Jessica Terress Evans-wall, MD - Medicare Emergency Medicine in Albuquerque, NM