Jacob B Wall, PA-C in Greenwood, IN - Medicare Physician Assistant

Jacob B Wall, PA-C is a medicare enrolled "Physician Assistant" in Greenwood, Indiana. He graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Forefront Dermatology Sc and his current practice location is 701 E County Line Rd Ste 308, Greenwood, Indiana. You can reach out to his office (for appointments etc.) via phone at (317) 859-8970.

Jacob B Wall is licensed to practice in Indiana (license number 10003433A) 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 1932770005.

Contact Information

	Jacob B Wall, PA-C
	701 E County Line Rd Ste 308, Greenwood, IN 46143-1072
	(317) 859-8970
	(317) 859-8977

Map and Direction

Provider's Profile

Full Name	Jacob B Wall
Gender	Male
Speciality	Physician Assistant
Experience	5 Years
Location	701 E County Line Rd Ste 308, Greenwood, Indiana
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:

Jacob B Wall graduated from nursing school in 2021

NPI Data:

NPI Number: 1932770005
Provider Enumeration Date: 07/08/2021
Last Update Date: 03/03/2026

Medicare PECOS Information:

PECOS PAC ID: 0648669960
Enrollment ID: I20211108001312

Medical Identifiers

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

Identifier	Type	State	Issuer
1932770005	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	10003433A (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Forefront Dermatology Sc	3779471701	568

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. Jacob B 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
Jacob B Wall, PA-C 801 York St, Manitowoc, WI 54220-4630 Ph: (920) 663-9008	Jacob B Wall, PA-C 701 E County Line Rd Ste 308, Greenwood, IN 46143-1072 Ph: (317) 859-8970

Reviews and Comments

Physician Assistant Nurses in Greenwood, IN

Hannah Rae Rudolph, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2800 S State Road 135 Ste 250, Greenwood, IN 46143 Phone: 317-300-1788 Fax: 317-743-8103
Grace Vicars, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1001 N Madison Ave, Greenwood, IN 46142 Phone: 317-528-7500 Fax: 317-528-7515
Erin Michelle Montgomery, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1001 N Madison Ave, Greenwood, IN 46142 Phone: 317-528-7500 Fax: 317-528-7515
Mr. Michael James Summitt, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 747 E County Line Rd, Ste. B, Greenwood, IN 46143 Phone: 317-789-9600
Teddi Byram, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 489 S State Road 135 Ste F, Greenwood, IN 46142 Phone: 317-887-7640
Cynthia Louanne Kirkman, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 701 E County Line Rd Ste 101, Greenwood, IN 46143 Phone: 317-885-2860 Fax: 317-885-2869
Kelly L Foutch, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 489 S State Road 135 Ste F, Greenwood, IN 46142 Phone: 317-887-7640

Jacob B Wall, PA-C - Medicare Physician Assistant in Greenwood, IN