Thomas John Wall, MD - Medicare Family Practice in Blackwood, NJ

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Thomas John Wall, MD is a medicare enrolled "Family Medicine" physician in Blackwood, New Jersey. He graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Cooper Family Medicine Pc and his current practice location is 200 College Dr, Blackwood, New Jersey. You can reach out to his office (for appointments etc.) via phone at (856) 536-1630.

Thomas John Wall is licensed to practice in New Jersey (license number 25MA10804200) 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 1952822595.

Contact Information

Thomas John Wall, MD
200 College Dr,
Blackwood, NJ 08012-3228
(856) 536-1630
Not Available

Map and Direction




Physician's Profile

Full NameThomas John Wall
GenderMale
SpecialityFamily Practice
Experience7 Years
Location200 College Dr, Blackwood, New Jersey
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Thomas John Wall graduated from medical school in 2017
  NPI Data:
  • NPI Number: 1952822595
  • Provider Enumeration Date: 07/05/2017
  • Last Update Date: 08/19/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 7517381346
  • Enrollment ID: I20200727000426

Medical Identifiers

Medical identifiers for Thomas John Wall such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952822595NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 25MA10804200 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Cooper University HospitalCamden, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cooper Family Medicine Pc428453019798

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. Thomas John Wall allows following entities to bill medicare on his behalf.
Entity NameCooper Physician Offices Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154369510
PECOS PAC ID: 2860396611
Enrollment ID: O20031122000067
Entity NameCamcare Health Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790857696
PECOS PAC ID: 2567365117
Enrollment ID: O20040130000243
Entity NameCooper Family Medicine Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649217175
PECOS PAC ID: 4284530197
Enrollment ID: O20080417000457
Entity NameCooper Family Medicine Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508229790
PECOS PAC ID: 4284530197
Enrollment ID: O20160609000365

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. Thomas John 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 AddressPractice Location Address
Thomas John Wall, MD
1 Federal St # 200,
Camden, NJ 08103-1088

Ph: (856) 356-4924		Thomas John Wall, MD
200 College Dr,
Blackwood, NJ 08012-3228

Ph: (856) 536-1630

Reviews and Comments


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Dr. Andrew Kelada, D.O.
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Dr. Frank Milton Banks, DO
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Dr. Gintare T Gecys, D.O.
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.