Donald Vincent Wall, CNP - Medicare Nurse Practitioner in Kingman, AZ

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Donald Vincent Wall, CNP is a medicare enrolled "Nurse Practitioner - Family" in Kingman, Arizona. He went to Roseman Univ Of Hlth Sciences, Col Of Dental Med and graduated in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Bhsm Rehabilitation Llc, Raghav Llc, Prescott Healthcare Solutions Llc and his current practice location is 2501 N Stockton Hill Rd Ste 108, Kingman, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 255-5050.

Donald Vincent Wall is licensed to practice in Arizona (license number 313585) 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 1659191906.

Contact Information

Donald Vincent Wall, CNP
2501 N Stockton Hill Rd Ste 108,
Kingman, AZ 86401-4140
(928) 255-5050
Not Available

Map and Direction




Provider's Profile

Full NameDonald Vincent Wall
GenderMale
SpecialityNurse Practitioner
Experience5 Years
Location2501 N Stockton Hill Rd Ste 108, Kingman, Arizona
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:
  • Donald Vincent Wall attended and graduated from Roseman Univ Of Hlth Sciences, Col Of Dental Med in 2021
  NPI Data:
  • NPI Number: 1659191906
  • Provider Enumeration Date: 10/11/2024
  • Last Update Date: 02/19/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2062945314
  • Enrollment ID: I20241025000834

Medical Identifiers

Medical identifiers for Donald Vincent Wall such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659191906NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 313585 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kingman Regional Medical CenterKingman, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Bhsm Rehabilitation Llc20627731381575
Raghav Llc246670927413
Prescott Healthcare Solutions Llc4385940295155

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. Donald Vincent Wall allows following entities to bill medicare on his behalf.
Entity NamePrescott Healthcare Solutions Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821454505
PECOS PAC ID: 4385940295
Enrollment ID: O20160302001795
Entity NameRaghav Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598125791
PECOS PAC ID: 2466709274
Enrollment ID: O20180725002648

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. Donald Vincent 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
Donald Vincent Wall, CNP
534 Enchanted Lakes Dr,
Henderson, NV 89052-5626

Ph: (702) 513-9070		Donald Vincent Wall, CNP
2501 N Stockton Hill Rd Ste 108,
Kingman, AZ 86401-4140

Ph: (928) 255-5050

Reviews and Comments


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Steven Korona, MSN, RN, PMHNP
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Mrs. Lisa Marie Land, NP-C, ACNPC-AG
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Andrew Conrad Rucker,
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Practice Location: 3269 N Stockton Hill Rd, Kingman, AZ 86409
Phone: 928-757-2101    

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.