Autar Kristen Wali, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Pomona, California. His current practice location is
155 W Willow St, Pomona, California. You can reach out to his office (for appointments etc.) via phone at
(909) 865-2626.
Autar Kristen Wali is licensed to practice in California (license number A32290) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1164601449.
Physician's Profile
| Full Name | Autar Kristen Wali |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 155 W Willow St, Pomona, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Autar Kristen Wali attended and graduated from in
NPI Data:
- NPI Number: 1164601449
- Provider Enumeration Date: 11/02/2007
- Last Update Date: 10/20/2016
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Autar Kristen Wali such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164601449 | NPI | - | NPPES |
| 00A322900 | Medicaid | CA | |
| GR0081880 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | A32290 (California) | Secondary |
| 208C00000X | Colon & Rectal Surgery | A32290 (California) | Primary |
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. Autar Kristen Wali 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 |
|---|
Autar Kristen Wali, MD
155 W Willow St,
Pomona, CA 91768-1829
Ph: (909) 865-2626 | Autar Kristen Wali, MD
155 W Willow St,
Pomona, CA 91768-1829
Ph: (909) 865-2626 |
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