Dr Tanya C Wall, DDS in Jacksonville, FL - Medicare Dentist Provider

Dr Tanya C Wall, DDS is a medicare enrolled "Dentist - Pediatric Dentistry" provider in Jacksonville, Florida. Her current practice location is 2255 Dunn Ave, Bldg. 700, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 751-5126.

Dr Tanya C Wall is licensed to practice in Florida (license number DN15601) 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 1063528586.

Contact Information

	Dr Tanya C Wall, DDS
	2255 Dunn Ave, Bldg. 700, Jacksonville, FL 32218
	(904) 751-5126
	(904) 751-5146

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Tanya C Wall
Gender	Female
Speciality	Dentist - Pediatric Dentistry
Location	2255 Dunn Ave, Jacksonville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063528586
Provider Enumeration Date: 08/21/2006
Last Update Date: 01/08/2019

Medicare PECOS Information:

PECOS PAC ID: 1951832856
Enrollment ID: I20241002003698

Medical Identifiers

Medical identifiers for Dr Tanya C Wall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063528586	NPI	-	NPPES
70640	Other	FL	ADI HEALTHY KIDS
0758264000	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223P0221X	Dentist - Pediatric Dentistry	DN15601 (Florida)	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. Dr Tanya C Wall allows following entities to bill medicare on her behalf.

Entity Name	Brushes And Brackets Dental Studio
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023772704 PECOS PAC ID: 0042741944 Enrollment ID: O20241002003601

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. Dr Tanya C 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
Dr Tanya C Wall, DDS Po Box 26948, Jacksonville, FL 32226 Ph: (904) 751-5126	Dr Tanya C Wall, DDS 2255 Dunn Ave, Bldg. 700, Jacksonville, FL 32218 Ph: (904) 751-5126

Reviews and Comments

Dentist in Jacksonville, FL

Anthony Massaro, MD, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 7711 Baymeadows Rd E Ste 7, Jacksonville, FL 32256 Phone: 904-565-1505
Romao Tormena Jr., Dentist Medicare: Not Enrolled in Medicare Practice Location: 5491 Dolphin Point Blvd, Jacksonville, FL 32211 Phone: 904-256-7854
Dr. Syed-omair Ali, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 8440 Blanding Blvd, Jacksonville, FL 32244 Phone: 904-525-8041
Ms. Valerie J. V. Minor, DMS, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2363 Dunn Ave, Jacksonville, FL 32218 Phone: 904-751-6030 Fax: 904-751-5828
Dr. Kenneth A Mertz Jr., DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1722 University Blvd., Jacksonville, FL 32216 Phone: 904-253-1240 Fax: 904-727-6548
Dr. Ronald Appleby, D.M.D Dentist Medicare: Not Enrolled in Medicare Practice Location: 2080 Child St, Jacksonville, FL 32214 Phone: 904-542-3442
Dr. Daniel Joseph Schellhase, DDS MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5435 Ortega Blvd, Ste 2, Jacksonville, FL 32210 Phone: 904-388-4600

Dr Tanya C Wall, DDS - Medicare Dentist in Jacksonville, FL