Richard A Wall Jr, MD is a medicare enrolled "Family Medicine" physician in Glasgow, Virginia. His current practice location is
730 Mcculloch St, Glasgow, Virginia. You can reach out to his office (for appointments etc.) via phone at
(540) 258-1700.
Richard A Wall Jr is licensed to practice in Virginia (license number 0101268996) 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 1275525388.
Physician's Profile
| Full Name | Richard A Wall Jr |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 730 Mcculloch St, Glasgow, Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1275525388
- Provider Enumeration Date: 08/16/2005
- Last Update Date: 03/13/2025
Medicare PECOS Information:
- PECOS PAC ID: 7214965482
- Enrollment ID: I20050728001219
Medical Identifiers
Medical identifiers for Richard A Wall Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1275525388 | NPI | - | NPPES |
| 244916 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 24491 (South Carolina) | Secondary |
| 207Q00000X | Family Medicine | 0101268996 (Virginia) | 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. Richard A Wall Jr allows following entities to bill medicare on his behalf.
| Entity Name | Tandem Health Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386630192 PECOS PAC ID: 3870575855 Enrollment ID: O20040603000514 |
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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. Richard A Wall Jr 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 |
Richard A Wall Jr, MD Po Box 388, Fishersville, VA 22939-0388 Ph: (540) 258-1700 | Richard A Wall Jr, MD 730 Mcculloch St, Glasgow, VA 24555-2710 Ph: (540) 258-1700 |
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