Brandon James Wall, MD | |
4400 Shuffield Ave, Little Rock, AR 72205-7100 | |
(501) 686-9300 | |
(501) 686-9576 |
Full Name | Brandon James Wall |
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Gender | Male |
Speciality | Psychiatry |
Experience | 29 Years |
Location | 4400 Shuffield Ave, Little Rock, Arkansas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770651408 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | E-3574 (Arkansas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
State Of Arkansas | 6507863958 | 14 |
Entity Name | State Of Arkansas |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891808630 PECOS PAC ID: 6507863958 Enrollment ID: O20080909000722 |
Mailing Address | Practice Location Address |
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Brandon James Wall, MD 4400 Shuffield Ave, Little Rock, AR 72205-7100 Ph: (501) 686-9300 | Brandon James Wall, MD 4400 Shuffield Ave, Little Rock, AR 72205-7100 Ph: (501) 686-9300 |
Sukanthi Kovvuru, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4301 W Markham St, Little Rock, AR 72205 Phone: 609-865-3702 | |
Dr. Christopher Brent Lawlis, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4301 W Markham St # 783, Little Rock, AR 72205 Phone: 501-686-8000 Fax: 501-526-5148 | |
Dr. Albert Lee Kittrell, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 4301 W Markham St # 783, Little Rock, AR 72205 Phone: 501-686-8000 | |
Bradley Scott Boop, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 10001 Lile Dr, Little Rock, AR 72205 Phone: 501-227-8000 Fax: 501-221-0295 | |
Dr. Gregory Stanley Krulin, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 11300 Financial Centre Pkwy, Suite 1200, Little Rock, AR 72211 Phone: 501-526-6090 Fax: 501-526-5503 | |
Carlene Williams Lyle, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2601 Kavanaugh Blvd, Suite 5, Little Rock, AR 72205 Phone: 501-663-8990 Fax: 501-663-8997 | |
Mr. Samuel Tyler Armstrong Bayles, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 700 S Schiller St, Little Rock, AR 72201 Phone: 501-660-6644 |