Kevin Corr Wall, is a medicare enrolled "Orthopaedic Surgery" physician in Chester, Virginia. His current practice location is
13048 Rivers Bend Rd, Chester, Virginia. You can reach out to his office (for appointments etc.) via phone at
(804) 526-5888.
Kevin Corr Wall is licensed to practice in Virginia (license number 0101286887) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1376003350.
Physician's Profile
| Full Name | Kevin Corr Wall |
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| Gender | Male |
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| Speciality | Orthopaedic Surgery |
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| Location | 13048 Rivers Bend Rd, Chester, Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1376003350
- Provider Enumeration Date: 03/25/2019
- Last Update Date: 09/11/2025
Medicare PECOS Information:
- PECOS PAC ID: 5395086516
- Enrollment ID: I20240806004564
Medical Identifiers
Medical identifiers for Kevin Corr Wall such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376003350 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207X00000X | Orthopaedic Surgery | 0101286887 (Virginia) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207X00000X | Orthopaedic Surgery | 1017961 (Massachusetts) | Secondary |
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. Kevin Corr Wall allows following entities to bill medicare on his behalf.
| Entity Name | Massachusetts General Physicians Organization Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801874573
PECOS PAC ID: 2466365820
Enrollment ID: O20031111000434 |
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| Entity Name | Mass General Brigham Medical Group Suburban Massachusetts Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538191218
PECOS PAC ID: 0244133494
Enrollment ID: O20040127001012 |
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| Entity Name | The General Hospital Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023049236
PECOS PAC ID: 6507803806
Enrollment ID: O20080313000351 |
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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. Kevin Corr 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 |
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Kevin Corr Wall,
1200 E Broad St Fl 9,
Richmond, VA 23298-5025
Ph: () - | Kevin Corr Wall,
13048 Rivers Bend Rd,
Chester, VA 23836-2564
Ph: (804) 526-5888 |
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