Samson John Spilk Wall, MD in Milwaukie, OR - Medicare Internal Medicine

Samson John Spilk Wall, MD is a medicare enrolled "Internal Medicine" physician in Milwaukie, Oregon. He graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Providence Health And Services Oregon and his current practice location is 10150 Se 32nd Ave, Milwaukie, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 513-8641.

Samson John Spilk Wall is licensed to practice in Oregon (license number MD150633) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1619169109.

Contact Information

	Samson John Spilk Wall, MD
	10150 Se 32nd Ave, Milwaukie, OR 97222-6516
	(503) 513-8641
	Not Available

Map and Direction

Physician's Profile

Full Name	Samson John Spilk Wall
Gender	Male
Speciality	Internal Medicine
Experience	23 Years
Location	10150 Se 32nd Ave, Milwaukie, Oregon
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Samson John Spilk Wall graduated from medical school in 2001

NPI Data:

NPI Number: 1619169109
Provider Enumeration Date: 08/17/2007
Last Update Date: 10/11/2021

Medicare PECOS Information:

PECOS PAC ID: 4183750532
Enrollment ID: I20100325000151

Medical Identifiers

Medical identifiers for Samson John Spilk Wall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619169109	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	MD150633 (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Providence Milwaukie Hospital	Milwaukie, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Health And Services Oregon	0648183608	1328

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. Samson John Spilk Wall allows following entities to bill medicare on his behalf.

Entity Name	Providence Health & Services Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652

Entity Name	Providence Health & Services Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366536963 PECOS PAC ID: 6103728753 Enrollment ID: O20040123000371

Entity Name	South Sound Inpatient Physicians Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508023789 PECOS PAC ID: 5991618738 Enrollment ID: O20050401000747

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. Samson John Spilk 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
Samson John Spilk Wall, MD Po Box 3158, Portland, OR 97208-3158 Ph: (503) 215-6494	Samson John Spilk Wall, MD 10150 Se 32nd Ave, Milwaukie, OR 97222-6516 Ph: (503) 513-8641

Reviews and Comments

Internal Medicine Doctors in Milwaukie, OR

Dr. Scott Keola Miyake, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6902 Se Lake Rd, Ste 100, Milwaukie, OR 97267 Phone: 503-786-1167 Fax: 503-786-1153
Ms. Yufei Zhang, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10024 Se 32nd Ave, Milwaukie, OR 97222 Phone: 503-659-4988 Fax: 503-654-5666
Mr. David R. Maslen, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10024 Se 32nd Ave, Milwaukie, OR 97222 Phone: 503-659-4988 Fax: 503-654-5666
Leah A Swetnam, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6902 Se Lake Rd, Milwaukie, OR 97267 Phone: 503-786-1150
Steven J Redmond, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10150 Se 32nd Ave, Milwaukie, OR 97222 Phone: 503-513-8695
Dr. Stacie Lorraine Carney, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 10330 Se 32nd Ave Ste 325, Milwaukie, OR 97222 Phone: 503-416-1960 Fax: 503-416-1959
Mr. Dennis O. Mayer, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 10024 Se 32nd Ave, Milwaukie, OR 97222 Phone: 503-659-4988 Fax: 503-654-5666

Samson John Spilk Wall, MD - Medicare Internal Medicine in Milwaukie, OR