Vik Wall, MD in Odessa, TX - Medicare Emergency Medicine

Vik Wall, MD is a medicare enrolled "Emergency Medicine" physician in Odessa, Texas. His current practice location is 500 W 4th St, Odessa, Texas. You can reach out to his office (for appointments etc.) via phone at (432) 640-1190.

Vik Wall is licensed to practice in Texas (license number H1675) 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 1780611806.

Contact Information

	Vik Wall, MD
	500 W 4th St, Odessa, TX 79761-5001
	(432) 640-1190
	(432) 640-3489

Map and Direction

Physician's Profile

Full Name	Vik Wall
Gender	Male
Speciality	Emergency Medicine
Location	500 W 4th St, Odessa, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780611806
Provider Enumeration Date: 06/26/2006
Last Update Date: 09/01/2015

Medicare PECOS Information:

PECOS PAC ID: 4486645926
Enrollment ID: I20040521001208

Medical Identifiers

Medical identifiers for Vik Wall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780611806	NPI	-	NPPES
8BB102	Other	TX	BCBSTX PROV. NO.
137851513	Medicaid	TX
137851520	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	H1675 (Texas)	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. Vik Wall allows following entities to bill medicare on his behalf.

Entity Name	Basin Emergency Physicians Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831337724 PECOS PAC ID: 0244397826 Enrollment ID: O20090326000107

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. Vik 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
Vik Wall, MD 1717 Main St, Suite 5300, Dallas, TX 75201-4605 Ph: (214) 712-2074	Vik Wall, MD 500 W 4th St, Odessa, TX 79761-5001 Ph: (432) 640-1190

Reviews and Comments

Emergency Medicine Doctors in Odessa, TX

Dr. Steven Wiese, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4236 E Everglade Ave, Odessa, TX 79762 Phone: 979-575-8119
Jeffery M Pinnow, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 500 W 4th St, Odessa, TX 79761 Phone: 432-640-4000
Cordell Cunningham, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 500 W 4th St, Odessa, TX 79761 Phone: 432-640-6000
Farshid D Kayfan, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 W 4th St, Odessa, TX 79761 Phone: 432-640-1190 Fax: 432-640-3489
Dr. Michael Duane Simmons, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 500 W 4th St, Odessa, TX 79761 Phone: 432-640-1189
Randal Isaac Hale, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 701 W 5th St, Odessa, TX 79763 Phone: 432-335-2222
Dr. Gregory Michael Shipkey, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 500 W 4th St, Odessa, TX 79761 Phone: 432-640-1189

Vik Wall, MD - Medicare Emergency Medicine in Odessa, TX