Mikayla Wall, - Medicare Physician Assistant in Salem, VA

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Mikayla Wall, is a medicare enrolled "Physician Assistant" in Salem, Virginia. She graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Johnson Health Center and her current practice location is 1802 Braeburn Dr, Salem, Virginia. You can reach out to her office (for appointments etc.) via phone at (540) 772-3702.

Mikayla Wall is licensed to practice in Virginia (license number 0110008117) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1265002836.

Contact Information

Mikayla Wall,
1802 Braeburn Dr,
Salem, VA 24153-7357
(540) 772-3702
Not Available

Map and Direction




Provider's Profile

Full NameMikayla Wall
GenderFemale
SpecialityPhysician Assistant
Experience5 Years
Location1802 Braeburn Dr, Salem, Virginia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mikayla Wall graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1265002836
  • Provider Enumeration Date: 06/28/2021
  • Last Update Date: 10/08/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7012305535
  • Enrollment ID: I20211102001250

Medical Identifiers

Medical identifiers for Mikayla Wall such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265002836NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 0110008117 (Virginia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Johnson Health Center953706041339

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. Mikayla Wall allows following entities to bill medicare on her behalf.
Entity NameJohnson Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316926538
PECOS PAC ID: 9537060413
Enrollment ID: O20040709000047
Entity NameBedford Family Urgent Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033150115
PECOS PAC ID: 1557314291
Enrollment ID: O20050223000092
Entity NameCentra Medical Group LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649228966
PECOS PAC ID: 4789606088
Enrollment ID: O20051230000147
Entity NameSignify Health LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689158487
PECOS PAC ID: 3274895263
Enrollment ID: O20210226002383

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. Mikayla 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
Mikayla Wall,
434 Sunburst Rd,
Lynchburg, VA 24501-7249

Ph: (434) 944-2860		Mikayla Wall,
1802 Braeburn Dr,
Salem, VA 24153-7357

Ph: (540) 772-3702

Reviews and Comments


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Portia S Tomlinson, PA-C
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Mr. Andrew Thomas Tokarsky, PA-C
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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.