Derek Brian Wall, MD | |
1000 Mineral Point Ave, Janesville, WI 53548-2940 | |
(608) 756-6000 | |
Not Available |
Full Name | Derek Brian Wall |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 28 Years |
Location | 1000 Mineral Point Ave, Janesville, Wisconsin |
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 |
---|---|---|---|
1518937085 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | A64368 (California) | Secondary |
2086S0127X | Surgery - Trauma Surgery | 52043-20 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Portsmouth Regional Hospital | Portsmouth, NH | Hospital |
Mercy Health System Corp | Janesville, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Health System Corporation | 7416860440 | 475 |
Portsmouth Trauma And Surgical Care, Llc | 7012375819 | 14 |
Entity Name | Mercy Health System Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164 |
Mailing Address | Practice Location Address |
---|---|
Derek Brian Wall, MD 1000 Mineral Point Ave, Janesville, WI 53548-2940 Ph: (608) 756-6000 | Derek Brian Wall, MD 1000 Mineral Point Ave, Janesville, WI 53548-2940 Ph: (608) 756-6000 |
David C Lynn, MD Surgery Medicare: Medicare Enrolled Practice Location: 510 N Terrace St, Janesville, WI 53548 Phone: 608-756-7277 Fax: 608-373-3115 | |
Mark E Mcdade, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3200 E Racine St, Janesville, WI 53546 Phone: 608-371-8000 Fax: 608-371-8929 | |
Dr. Bohdan K Wasiljew, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 510 N Terrace St, Janesville, WI 53548 Phone: 608-756-7277 | |
William H Squires, MD Surgery Medicare: Medicare Enrolled Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-6731 Fax: 608-756-6013 | |
Michael L Rainiero, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3200 E Racine St, Janesville, WI 53546 Phone: 608-371-8000 Fax: 608-371-8929 | |
Dr. Steven L Falk, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2222 Cornell Ave, Janesville, WI 53545 Phone: 608-755-1395 |