Stacey Wall, PNP in Aurora, CO - Medicare Nurse Practitioner

Stacey Wall, PNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Aurora, Colorado. Her current practice location is 13123 E 16th Ave, Aurora, Colorado. You can reach out to her office (for appointments etc.) via phone at (720) 777-1234.

Stacey Wall is licensed to practice in Colorado (license number 125686) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1770621930.

Contact Information

	Stacey Wall, PNP
	13123 E 16th Ave, Aurora, CO 80045-7106
	(720) 777-1234
	Not Available

Map and Direction

Provider's Profile

Full Name	Stacey Wall
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	13123 E 16th Ave, Aurora, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770621930
Provider Enumeration Date: 02/01/2007
Last Update Date: 07/24/2020

Medicare PECOS Information:

PECOS PAC ID: 2567565708
Enrollment ID: I20070308000610

Medical Identifiers

Medical identifiers for Stacey Wall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770621930	NPI	-	NPPES
77455274	Medicaid	CO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	125686 (Colorado)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	125686 (Colorado)	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. Stacey Wall allows following entities to bill medicare on her behalf.

Entity Name	National Jewish Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326015777 PECOS PAC ID: 4587577028 Enrollment ID: O20031110000757

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. Stacey 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
Stacey Wall, PNP Po Box 110429, Aurora, CO 80042-0429 Ph: (303) 493-7000	Stacey Wall, PNP 13123 E 16th Ave, Aurora, CO 80045-7106 Ph: (720) 777-1234

Reviews and Comments

Nurse Practitioner Nurses in Aurora, CO

Mrs. Kristen L Holder, FNP-C, APRN-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13123 E 16th Ave, Aurora, CO 80045 Phone: 720-777-1234
Kate Coleman Minahan, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13123 E 16th Ave, Aurora, CO 80045 Phone: 720-777-1234
Mrs. Jill M Marks, RN, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13123 E 16th Ave, Aurora, CO 80045 Phone: 720-777-1234
Kristi Wharton Swim, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12605 E 16th Ave, Aurora, CO 80045 Phone: 720-848-0000
Sumy Anthony, CERTIFIED NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1700 S Potomac St, Aurora, CO 80012 Phone: 303-418-7600 Fax: 303-750-3137
Lauren Reed, C.P.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13123 E 16th Ave, Aurora, CO 80045 Phone: 720-777-1234 Fax: 720-777-7321
Mrs. Elisha Elizabeth Mcguire, CPNP-AC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13123 E 16th Ave, Aurora, CO 80045 Phone: 720-777-6571

Stacey Wall, PNP - Medicare Nurse Practitioner in Aurora, CO