Norman Wall, DO | |
2701 Old Eureka Way Ste 1e, Redding, CA 96001-0228 | |
(530) 232-3000 | |
(530) 242-8545 |
Full Name | Norman Wall |
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Gender | Male |
Speciality | Internal Medicine - Nephrology |
Location | 2701 Old Eureka Way Ste 1e, Redding, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861416661 | NPI | - | NPPES |
00AX71800 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | 04997 (Iowa) | Secondary |
207RN0300X | Internal Medicine - Nephrology | 04997 (Iowa) | Primary |
Entity Name | Shasta Critical Care Specialists Medical Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245249770 PECOS PAC ID: 0547228884 Enrollment ID: O20050103000647 |
Mailing Address | Practice Location Address |
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Norman Wall, DO 2701 Old Eureka Way Ste 1e, Redding, CA 96001-0228 Ph: (530) 232-3000 | Norman Wall, DO 2701 Old Eureka Way Ste 1e, Redding, CA 96001-0228 Ph: (530) 232-3000 |
William H Devlaming, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 1355 East St, Suite 120, Redding, CA 96001 Phone: 530-244-1692 Fax: 530-244-1693 | |
Michelle Yap, MD Nephrology Medicare: Medicare Enrolled Practice Location: 351 Hartnell Ave, Redding, CA 96002 Phone: 530-226-7649 Fax: 530-226-7589 | |
Dr. Sara Choudhry, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1035 Placer Street, Redding, CA 96001 Phone: 530-246-5721 | |
Maylene I Peralta, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2510 Airpark Dr Ste 104, Redding, CA 96001 Phone: 530-242-3570 Fax: 530-242-3572 | |
Corsini Caballero Templado, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 351 Hartnell Ave, Redding, CA 96002 Phone: 530-226-7555 Fax: 530-226-7568 | |
Dr. Renu Magu, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1836 Gold St, Redding, CA 96001 Phone: 702-453-3799 Fax: 702-453-5741 | |
Dr. Everett D Trevor, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1145 Whiskeytown Ct, Redding, CA 96001 Phone: 530-246-4180 Fax: 530-242-6421 |