Mr Brian Keith Wall, LPC in Raleigh, NC - Medicare Counselor Provider

Mr Brian Keith Wall, LPC is a medicare enrolled "Counselor - Professional" provider in Raleigh, North Carolina. His current practice location is 3019 Falstaff Rd, Raleigh, North Carolina. You can reach out to his office (for appointments etc.) via phone at (919) 250-7000.

Mr Brian Keith Wall is licensed to practice in South Carolina (license number 8524) 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 1184941940.

Contact Information

	Mr Brian Keith Wall, LPC
	3019 Falstaff Rd, Raleigh, NC 27610-1812
	(919) 250-7000
	(919) 231-3231

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Brian Keith Wall
Gender	Male
Speciality	Counselor - Professional
Location	3019 Falstaff Rd, Raleigh, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184941940
Provider Enumeration Date: 05/03/2010
Last Update Date: 09/08/2023

Medicare PECOS Information:

PECOS PAC ID: 3971955949
Enrollment ID: I20240116002441

Medical Identifiers

Medical identifiers for Mr Brian Keith Wall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184941940	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	7369 (North Carolina)	Secondary
101YP2500X	Counselor - Professional	8524 (South Carolina)	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 Brian Keith Wall allows following entities to bill medicare on his behalf.

Entity Name	Thrive Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20200602000701

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 Brian Keith 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
Mr Brian Keith Wall, LPC 1213 Chimney Hill Dr, Apex, NC 27502-6416 Ph: (919) 896-4430	Mr Brian Keith Wall, LPC 3019 Falstaff Rd, Raleigh, NC 27610-1812 Ph: (919) 250-7000

Reviews and Comments

Counselor in Raleigh, NC

Mr. Duncan Njaramba Kihoro, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8211 Willowglen Dr, Raleigh, NC 27616 Phone: 919-266-7784
Susan L Dowd, MSW, LCAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 4021 Bella Park Trl Apt 418, Raleigh, NC 27613 Phone: 919-798-3419
Jeffrey Alan Simms, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8512 Six Forks Rd Ste 101, Raleigh, NC 27615 Phone: 919-277-0253 Fax: 833-449-5270
James Treires, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 5509 Creedmoor Rd, Raleigh, NC 27612 Phone: 919-573-6520 Fax: 919-573-6555
Kimberly Hope Brandon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6516 Falls Of Neuse Rd Ste 110, Raleigh, NC 27615 Phone: 919-423-2310
Mr. Gabriel Rosenboro, BS CRIMINAL JUSTICE Counselor Medicare: Not Enrolled in Medicare Practice Location: 4400 Old Poole Rd, Raleigh, NC 27610 Phone: 919-268-9660
Victoria Baxter, LCMHC Counselor Medicare: Medicare Enrolled Practice Location: 39 Red Ln, Raleigh, NC 27606 Phone: 706-836-1713

Mr Brian Keith Wall, LPC - Medicare Counselor in Raleigh, NC