Alexandria Wall, LCSW in Petersburg, VA - Medicare Social Worker Provider

Alexandria Wall, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Petersburg, Virginia. Her current practice location is 350 Poplar Dr, Petersburg, Virginia. You can reach out to her office (for appointments etc.) via phone at (804) 733-6874.

Alexandria Wall is licensed to practice in Virginia (license number 0904013036) 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 1790354074.

Contact Information

	Alexandria Wall, LCSW
	350 Poplar Dr, Petersburg, VA 23805-9367
	(804) 733-6874
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Alexandria Wall
Gender	Female
Speciality	Social Worker - Clinical
Location	350 Poplar Dr, Petersburg, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790354074
Provider Enumeration Date: 06/22/2021
Last Update Date: 06/22/2021

Medicare PECOS Information:

PECOS PAC ID: 6507264934
Enrollment ID: I20211014002597

Medical Identifiers

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

Identifier	Type	State	Issuer
1790354074	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	0904013036 (Virginia)	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. Alexandria Wall allows following entities to bill medicare on her behalf.

Entity Name	The Mind Health Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336699461 PECOS PAC ID: 8022429661 Enrollment ID: O20201202003101

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. Alexandria 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
Alexandria Wall, LCSW 320 Moorman Ave, Colonial Heights, VA 23834-3130 Ph: (804) 896-1767	Alexandria Wall, LCSW 350 Poplar Dr, Petersburg, VA 23805-9367 Ph: (804) 733-6874

Reviews and Comments

Social Worker in Petersburg, VA

Mrs. Carla Felicia Jones, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5923 Church Rd, Petersburg, VA 23803 Phone: 804-721-6750 Fax: 804-957-6389
Mrs. Morgan Honickel, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 25 S Union St, Petersburg, VA 23803 Phone: 804-957-9601
Stephen L Murphy, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 350 Poplar Dr, Petersburg, VA 23805 Phone: 804-733-6874 Fax: 804-518-1340
Mrs. Susan Woodford Perez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 26317 W Washington St, Petersburg, VA 23803 Phone: 804-921-2100
John Salay, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 350 Poplar Dr, Petersburg, VA 23805 Phone: 804-733-6874
Tonette S Robertson, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 20 W Bank St, Petersburg, VA 23803 Phone: 804-862-8000
Charles E. Hodges Jr., LCSW, CSOTP Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 269 Medical Park Blvd, Petersburg, VA 23805 Phone: 804-868-0070

Alexandria Wall, LCSW - Medicare Clinical Social Worker in Petersburg, VA