Mr Kevin Alan Wall, FNP - Medicare Nurse Practitioner in Vestal, NY

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Mr Kevin Alan Wall, FNP is a medicare enrolled "Nurse Practitioner - Family" in Vestal, New York. His current practice location is 200 Front St Ste C, Vestal, New York. You can reach out to his office (for appointments etc.) via phone at (607) 239-5694.

Mr Kevin Alan Wall is licensed to practice in New York (license number 344995) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1386292357.

Contact Information

Mr Kevin Alan Wall, FNP
200 Front St Ste C,
Vestal, NY 13850-1559
(607) 239-5694
Not Available

Map and Direction




Provider's Profile

Full NameMr Kevin Alan Wall
GenderMale
SpecialityNurse Practitioner - Family
Location200 Front St Ste C, Vestal, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1386292357
  • Provider Enumeration Date: 09/03/2019
  • Last Update Date: 09/03/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 6305275199
  • Enrollment ID: I20200330002711

Medical Identifiers

Medical identifiers for Mr Kevin Alan Wall such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386292357NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 344995 (New York)Primary

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. Mr Kevin Alan Wall allows following entities to bill medicare on his behalf.
Entity NameMedical Services of Syracuse
Entity TypePart B Supplier - Sports Medicine
Entity IdentifiersNPI Number: 1184050973
PECOS PAC ID: 0547480485
Enrollment ID: O20140929000169

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. Mr Kevin Alan 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
Mr Kevin Alan Wall, FNP
3011 State Route 41,
Cincinnatus, NY 13040-2215

Ph: (607) 345-9992		Mr Kevin Alan Wall, FNP
200 Front St Ste C,
Vestal, NY 13850-1559

Ph: (607) 239-5694

Reviews and Comments


Nurse Practitioner Nurses in Vestal, NY

Ying Fang Zhao, FNP
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Practice Location: 404 Apine Drive, Vestal, NY 13850
Phone: 917-238-7372    
Ms. Kathryn Ellen Ericksen, GNP
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Practice Location: 3700 Old Vestal Rd, Vestal, NY 13850
Phone: 607-221-2745    
Ms. Kimberly Ann Neiman, NP
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Medicare: Accepting Medicare Assignments
Practice Location: 4417 Vestal Pkwy E, Vestal, NY 13850
Phone: 607-729-2144    Fax: 607-729-2145
Susan Wenzinger, ANPC
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Medicare: Medicare Enrolled
Practice Location: 4513 Old Vestal Rd, Vestal, NY 13850
Phone: 607-729-7001    
Erica Tokos, FNP
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Medicare: Accepting Medicare Assignments
Practice Location: 4417 Vestal Pkwy E, Vestal, NY 13850
Phone: 607-729-2144    Fax: 607-729-2145
Chloe A Pusey, FNP-C
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Medicare: Accepting Medicare Assignments
Practice Location: 4104 Vestal Rd, Vestal Executive Park Suite 203, Vestal, NY 13850
Phone: 607-797-9036    Fax: 607-798-0601
Lisa A Olson-gugerty, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4417 Vestal Pkwy E, Vestal, NY 13850
Phone: 607-729-2144    

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.