| Mrs Lisa Laura Wall, PA | |
|
3755 7th Ter Ste 101, Vero Beach, FL 32960-6531 | |
| (772) 569-5056 | |
| (772) 562-5098 |
| Full Name | Mrs Lisa Laura Wall |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 24 Years |
| Location | 3755 7th Ter Ste 101, Vero Beach, Florida |
| 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 |
|---|---|---|---|
| 1205085321 | NPI | - | NPPES |
| IM816Z | Other | FL | MEDICARE PTAN |
| 017124100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 25MP00107400 (New Jersey) | Secondary |
| 363A00000X | Physician Assistant | (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Leavitt Medical Associates Of Florida Inc | 4688579311 | 173 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Lisa Laura Wall, PA 151 Southhall Ln Ste 300, Maitland, FL 32751-7172 Ph: (407) 875-2080 | Mrs Lisa Laura Wall, PA 3755 7th Ter Ste 101, Vero Beach, FL 32960-6531 Ph: (772) 569-5056 |
Mr. Robert Matthew Tack, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 36th St, Vero Beach, FL 32960 Phone: 772-567-4311 | |
Mrs. Darby Patzius Hutcherson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1531 4th Ct, Vero Beach, FL 32960 Phone: 662-587-5914 | |
Mr. Craig Joseph Romero, PHYSICIAN ASSISTANT Physician Assistant Medicare: Medicare Enrolled Practice Location: 1000 36th St, Vero Beach, FL 32960 Phone: 772-567-4311 Fax: 772-563-4706 | |
Mr. Kevin John Ziegler, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3730 7th Ter Ste 101, Vero Beach, FL 32960 Phone: 772-567-2332 Fax: 844-812-2806 | |
Kyle Anthony Franzone, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1000 36th St, Vero Beach, FL 32960 Phone: 772-567-4311 | |
Laura Leigh Walsh, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1880 37th St, Suite 4, Vero Beach, FL 32960 Phone: 772-778-1400 Fax: 772-778-4626 | |
Kristen J Landt, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1000 36th St, Emergency Department, Vero Beach, FL 32960 Phone: 772-567-4311 Fax: 904-346-0113 |