Autar Kristen Wali, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Pomona, California. He graduated from medical school in 1965 and has 59 years of diverse experience with area of expertise as General Surgery. 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 | General Surgery |
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Experience | 59 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. |
Medical Education and Training:
- Autar Kristen Wali graduated from medical school in 1965
NPI Data:
- NPI Number: 1164601449
- Provider Enumeration Date: 11/02/2007
- Last Update Date: 10/20/2016
Medicare PECOS Information:
- PECOS PAC ID: 2961445580
- Enrollment ID: I20100506000779
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 |
Medical Facilities Affiliation
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. Autar Kristen Wali allows following entities to bill medicare on his behalf.
Entity Name | Willow Partners Medical Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1942338827 PECOS PAC ID: 5799728317 Enrollment ID: O20050606000328 |
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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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