Mr Michael Dwayne Wall, PA, ATC, PTA, CEAS - Medicare Physician Assistant in Powell, TN

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Mr Michael Dwayne Wall, PA, ATC, PTA, CEAS is a medicare enrolled "Physician Assistant" in Powell, Tennessee. He graduated from nursing school in 2009 and has 17 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Champion Physical Therapy Llc Halls and his current practice location is 7557 Dannaher Way, Suite 230, Powell, Tennessee. You can reach out to his office (for appointments etc.) via phone at (865) 938-5222.

Mr Michael Dwayne Wall is licensed to practice in Tennessee (license number PENDING) 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 1386794717.

Contact Information

Mr Michael Dwayne Wall, PA, ATC, PTA, CEAS
7557 Dannaher Way, Suite 230,
Powell, TN 37849-3558
(865) 938-5222
(865) 938-5264

Map and Direction




Provider's Profile

Full NameMr Michael Dwayne Wall
GenderMale
SpecialityPhysician Assistant
Experience17 Years
Location7557 Dannaher Way, Powell, Tennessee
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Michael Dwayne Wall graduated from nursing school in 2009
  NPI Data:
  • NPI Number: 1386794717
  • Provider Enumeration Date: 01/10/2007
  • Last Update Date: 06/14/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 2466632955
  • Enrollment ID: I20110216000396

Medical Identifiers

Medical identifiers for Mr Michael Dwayne Wall such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386794717NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PENDING (Tennessee)Primary
225200000XPhysical Therapy Assistant 3396 (Tennessee)Secondary
2255A2300XSpecialist/technologist - Athletic Trainer 110102223 (Tennessee)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Blount Memorial HospitalMaryville, TNHospital
Sweetwater Hospital AssociationSweetwater, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Champion Physical Therapy Llc Halls1355416306277

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 Michael Dwayne Wall allows following entities to bill medicare on his behalf.
Entity NameBlount Memorial Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699710194
PECOS PAC ID: 6406844174
Enrollment ID: O20040503000547
Entity NameAthens Physicians Practice LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689055774
PECOS PAC ID: 2163490319
Enrollment ID: O20040924000294
Entity NameApp of Tennessee Ed PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003230236
PECOS PAC ID: 8123251766
Enrollment ID: O20140506000159
Entity NameHouse Call Primary Care, PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578956710
PECOS PAC ID: 8426361932
Enrollment ID: O20150713001953
Entity NameMichael Wall PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023727633
PECOS PAC ID: 3870963952
Enrollment ID: O20230106000141

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 Michael Dwayne 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 Michael Dwayne Wall, PA, ATC, PTA, CEAS
217 John Bouldin Dr,
Maryville, TN 37801-1902

Ph: (865) 898-2356		Mr Michael Dwayne Wall, PA, ATC, PTA, CEAS
7557 Dannaher Way, Suite 230,
Powell, TN 37849-3558

Ph: (865) 938-5222

Reviews and Comments


Physician Assistant Nurses in Powell, TN

Jacob Edward Filippone, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 7565 Dannaher Dr, Powell, TN 37849
Phone: 865-859-8000    
Mr. Jeffrey Thomas Lewis Jr., PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 7680 Dannaher Dr., Powell, TN 37849
Phone: 865-521-8050    Fax: 865-544-5816
Tammy Y Newman, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 7557 Dannaher Ln, Suite 230, Powell, TN 37849
Phone: 865-637-9431    Fax: 865-637-8887
Brianna Burgard, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 7714 Conner Rd Ste 103, Powell, TN 37849
Phone: 865-928-8121    Fax: 865-212-5561
Shona Dawn Knifley, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 7730 Dannaher Dr, Powell, TN 37849
Phone: 865-524-7107    Fax: 865-524-3709
Mrs. Jamie Howell Roberts, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 7730 Dannaher Dr, Powell, TN 37849
Phone: 865-524-7107    Fax: 865-524-3709
Robert Stephen Edmonds, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 7540 Lancashire Blvd, Powell, TN 37849
Phone: 865-257-3380    

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).

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