Mrs Donna Van Bladel Wall, NP in Hiram, GA - Medicare Nurse Practitioner

Mrs Donna Van Bladel Wall, NP is a medicare enrolled "Nurse Practitioner" in Hiram, Georgia. She graduated from nursing school in 2001 and has 23 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Wellstar Medical Group, Llc and her current practice location is 144 Bill Carruth Pkwy Ste 3100, Hiram, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 363-1940.

Mrs Donna Van Bladel Wall is licensed to practice in Georgia (license number RN134321) 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 1184603045.

Contact Information

	Mrs Donna Van Bladel Wall, NP
	144 Bill Carruth Pkwy Ste 3100, Hiram, GA 30141-3819
	(678) 363-1940
	(678) 581-7110

Map and Direction

Provider's Profile

Full Name	Mrs Donna Van Bladel Wall
Gender	Female
Speciality	Nurse Practitioner
Experience	23 Years
Location	144 Bill Carruth Pkwy Ste 3100, Hiram, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Donna Van Bladel Wall graduated from nursing school in 2001

NPI Data:

NPI Number: 1184603045
Provider Enumeration Date: 01/10/2006
Last Update Date: 04/17/2019

Medicare PECOS Information:

PECOS PAC ID: 9739264334
Enrollment ID: I20080306000416

Medical Identifiers

Medical identifiers for Mrs Donna Van Bladel Wall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184603045	NPI	-	NPPES
1184603045	Other	GA	NPI NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	RN134321 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wellstar Medical Group, Llc	6709065402	1839

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. Mrs Donna Van Bladel Wall allows following entities to bill medicare on her behalf.

Entity Name	Northwest Georgia Oncology Centers, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750376695 PECOS PAC ID: 5395642284 Enrollment ID: O20031218000066

Entity Name	Wellstar Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374

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. Mrs Donna Van Bladel 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
Mrs Donna Van Bladel Wall, NP 531 Roselane St Nw Ste 710, Marietta, GA 30060-6975 Ph: (678) 331-3297	Mrs Donna Van Bladel Wall, NP 144 Bill Carruth Pkwy Ste 3100, Hiram, GA 30141-3819 Ph: (678) 363-1940

Reviews and Comments

Nurse Practitioner Nurses in Hiram, GA

Mrs. Sara Hunlock Temple, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 51 Hiram Dr, Hiram, GA 30141 Phone: 678-945-8300 Fax: 770-445-2060
Aubree Lauren Tant, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 176 Charles Hardy Pkwy Unit C, Hiram, GA 30141 Phone: 678-945-8200 Fax: 678-945-8209
Mrs. Lucille Travis, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 4095 Atlanta Hwy, Hiram, GA 30141 Phone: 404-488-9521 Fax: 404-836-8030
Matthew Lee Estes, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 148 Bill Carruth Pkwy Ste 220, Hiram, GA 30141 Phone: 770-505-0023 Fax: 770-505-9003
Kelsey Sheffer, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2518 Jimmy Lee Smith Pkwy, Hiram, GA 30141 Phone: 770-938-9772
Joy Horton, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 136 Prince Ct, Hiram, GA 30141 Phone: 770-815-7357

Mrs Donna Van Bladel Wall, NP - Medicare Nurse Practitioner in Hiram, GA