Weston Wall, MD - Medicare Dermatology in St Petersburg, FL

Weston Wall, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in St Petersburg, Florida. He went to University Of Louisville School Of Medicine and graduated in 2016 and has 9 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Premier Dermatology, Llc, Georgia Dermatology And Skin Cancer Center, Llc, Georgia Dermatology And Skin Cancer Center, Llc and his current practice location is 1700 66th St N Ste 300, St Petersburg, Florida. You can reach out to his office (for appointments etc.) via phone at (727) 606-9255.

Weston Wall is licensed to practice in Florida (license number ME148685) 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 1437512969.

Contact Information

Weston Wall, MD
1700 66th St N Ste 300,
St Petersburg, FL 33710-5500
(727) 606-9255
Not Available

Map and Direction




Physician's Profile

Full NameWeston Wall
GenderMale
SpecialityDermatology
Experience9 Years
Location1700 66th St N Ste 300, St Petersburg, Florida
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:
  • Weston Wall attended and graduated from University Of Louisville School Of Medicine in 2016
  NPI Data:
  • NPI Number: 1437512969
  • Provider Enumeration Date: 04/01/2016
  • Last Update Date: 09/17/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 4183990773
  • Enrollment ID: I20210609003077

Medical Identifiers

Medical identifiers for Weston Wall such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437512969NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ND0101XDermatology - Mohs-micrographic Surgery ME148685 (Florida)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. Weston Wall allows following entities to bill medicare on his behalf.
Entity NamePremier Dermatology, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700202298
PECOS PAC ID: 6002031531
Enrollment ID: O20140625001928
Entity NameWall Dermatology, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003668328
PECOS PAC ID: 5395279897
Enrollment ID: O20241106002134

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. Weston 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
Weston Wall, MD
1700 66th St N Ste 300,
St Petersburg, FL 33710-5500

Ph: () -
Weston Wall, MD
1700 66th St N Ste 300,
St Petersburg, FL 33710-5500

Ph: (727) 606-9255

Reviews and Comments


Dermatology Doctors in St Petersburg, FL

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Dr. James C. Mauch, M.D.
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Phone: 727-824-7105    Fax: 727-824-7125
Naomi G Johansen, MD
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Practice Location: 1530 Dr Martin Luther King Jr St N, St Petersburg, FL 33704
Phone: 727-202-9442    Fax: 727-265-2507

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.