Craig J Wall, DO in Roseville, CA - Medicare Physical Medicine & Rehabilitation

Craig J Wall, DO is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Roseville, California. His current practice location is 1600 Eureka Rd, Roseville, California. You can reach out to his office (for appointments etc.) via phone at (916) 784-4000.

Craig J Wall is licensed to practice in California (license number 20A7179) 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 1962580647.

Contact Information

	Craig J Wall, DO
	1600 Eureka Rd, Roseville, CA 95661-3027
	(916) 784-4000
	Not Available

Map and Direction

Physician's Profile

Full Name	Craig J Wall
Gender	Male
Speciality	Physical Medicine & Rehabilitation
Location	1600 Eureka Rd, Roseville, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962580647
Provider Enumeration Date: 11/01/2006
Last Update Date: 12/06/2021

Medicare PECOS Information:

PECOS PAC ID: 2860436839
Enrollment ID: I20050610000836

Medical Identifiers

Medical identifiers for Craig J Wall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962580647	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208100000X	Physical Medicine & Rehabilitation	20A7179 (California)	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. Craig J Wall allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Craig J 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
Craig J Wall, DO 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262	Craig J Wall, DO 1600 Eureka Rd, Roseville, CA 95661-3027 Ph: (916) 784-4000

Reviews and Comments

Physical Medicine & Rehabilitation Doctors in Roseville, CA

Dr. Morgan O'connor, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1528 Eureka Rd Ste 103, Roseville, CA 95661 Phone: 916-772-5325
Mr. Moola Prabhakar Reddy, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 1528 Eureka Rd Ste 103, Roseville, CA 95661 Phone: 916-772-5325 Fax: 916-772-6333
Christopher Brophy, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 729 Sunrise Ave Ste 602, Roseville, CA 95661 Phone: 916-953-7571 Fax: 916-771-8515
Dr. Ryan James Hagens, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 1528 Eureka Rd, Roseville, CA 95661 Phone: 916-772-5325 Fax: 916-772-5325
Dr. Robert Addison Mcauley, M.D. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 729 Sunrise Ave Ste 200, Roseville, CA 95661 Phone: 916-781-7882 Fax: 916-781-3787
Jason Andrade, Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 1528 Eureka Rd Ste 103, Roseville, CA 95661 Phone: 916-772-5325
Dr. Lawrence Joseph Manhart Jr., M.D. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 1600 Eureka Rd, Mob 2 - Pediatric Specialties, Roseville, CA 95661 Phone: 916-474-2215

Craig J Wall, DO - Medicare Physical Medicine & Rehabilitation in Roseville, CA