Kyle Russell Wall, RN in Minneapolis, MN - Medicare Certified Registered Nurse Anesthetist (crna)

Kyle Russell Wall, RN is a medicare enrolled "Registered Nurse" in Minneapolis, Minnesota. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Hennepin Healthcare System Inc and his current practice location is 701 Park Ave, Minneapolis, Minnesota. You can reach out to his office (for appointments etc.) via phone at (612) 873-5014.

Kyle Russell Wall is licensed to practice in Minnesota (license number 2188577) 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 1013519867.

Contact Information

	Kyle Russell Wall, RN
	701 Park Ave, Minneapolis, MN 55415-1623
	(612) 873-5014
	(612) 630-8270

Map and Direction

Provider's Profile

Full Name	Kyle Russell Wall
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	4 Years
Location	701 Park Ave, Minneapolis, Minnesota
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:

Kyle Russell Wall graduated from nursing school in 2020

NPI Data:

NPI Number: 1013519867
Provider Enumeration Date: 11/16/2020
Last Update Date: 11/16/2020

Medicare PECOS Information:

PECOS PAC ID: 4688088156
Enrollment ID: I20210122002735

Medical Identifiers

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

Identifier	Type	State	Issuer
1013519867	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	2188577 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Hennepin County Medical Center 1	Minneapolis, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Hennepin Healthcare System Inc	4789684861	794

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. Kyle Russell Wall allows following entities to bill medicare on his behalf.

Entity Name	Ridgeview Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528364429 PECOS PAC ID: 9234041997 Enrollment ID: O20031111000183

Entity Name	Hennepin Healthcare System Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033138136 PECOS PAC ID: 4789684861 Enrollment ID: O20070207000467

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. Kyle Russell 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
Kyle Russell Wall, RN 8050 Lakebridge Ln, Victoria, MN 55386-3200 Ph: (612) 718-2989	Kyle Russell Wall, RN 701 Park Ave, Minneapolis, MN 55415-1623 Ph: (612) 873-5014

Reviews and Comments

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Kyle Russell Wall, RN - Medicare Certified Registered Nurse Anesthetist (crna) in Minneapolis, MN