| Katie Ellen Wall, FNP | |
|
14044 W Camelback Rd Ste 118, Litchfield Park, AZ 85340-9481 | |
| (623) 547-2600 | |
| (623) 547-1899 |
| Full Name | Katie Ellen Wall |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 15 Years |
| Location | 14044 W Camelback Rd Ste 118, Litchfield Park, Arizona |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649584384 | NPI | - | NPPES |
| 560359 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP3688 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Banner Boswell Medical Center | Sun city, AZ | Hospital |
| Wickenburg Community Hospital | Wickenburg, AZ | Hospital |
| Banner Del E. Webb Medical Center | Sun city west, AZ | Hospital |
| Arrowhead Hospital | Glendale, AZ | Hospital |
| Honorhealth Deer Valley Medical Center | Phoenix, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bhsm Rehabilitation Llc | 2062773138 | 1575 |
| Entity Name | Palo Verde Hematology Oncology Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447272372 PECOS PAC ID: 6406840131 Enrollment ID: O20040414000397 |
| Mailing Address | Practice Location Address |
|---|---|
| Katie Ellen Wall, FNP 14044 W Camelback Rd Ste 118, Litchfield Park, AZ 85340-9481 Ph: (623) 547-2600 | Katie Ellen Wall, FNP 14044 W Camelback Rd Ste 118, Litchfield Park, AZ 85340-9481 Ph: (623) 547-2600 |
Theressa Miller, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12513 W Reade Ave, Litchfield Park, AZ 85340 Phone: 480-294-2058 | |
Mrs. Kelly Lynn Heffron, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13331 W Indian School Rd Ste B203, Litchfield Park, AZ 85340 Phone: 623-269-3990 Fax: 623-269-3924 | |
Amie Horst, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13014 W Camelback Rd, Litchfield Park, AZ 85340 Phone: 888-698-6727 | |
Ronald A Rodriguez, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5115 N Dysart Rd Ste 202-613, Litchfield Park, AZ 85340 Phone: 623-439-4369 Fax: 888-725-0660 | |
Andrea Marie Kessler, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5115 N Dysart Rd Ste 202-613, Litchfield Park, AZ 85340 Phone: 602-888-2344 | |
Sheena Hill-dilla, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13327 W Stella Ln, Litchfield Park, AZ 85340 Phone: 623-399-5678 | |
Destini Dawn Mayfield, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 E Plaza Cir Dr Ste 8, Litchfield Park, AZ 85340 Phone: 602-399-9079 |