Dr David M Wall, MD is a medicare enrolled "General Practice" physician in Milford, Ohio. His current practice location is
935 State Route 28, Milford, Ohio. You can reach out to his office (for appointments etc.) via phone at
(513) 831-5955.
Dr David M Wall is licensed to practice in Ohio (license number 35095838) 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 1720393812.
Physician's Profile
Full Name | Dr David M Wall |
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Gender | Male |
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Speciality | General Practice |
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Location | 935 State Route 28, Milford, Ohio |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1720393812
- Provider Enumeration Date: 08/12/2010
- Last Update Date: 07/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 0648452193
- Enrollment ID: I20110304000729
Medical Identifiers
Medical identifiers for Dr David M Wall such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720393812 | NPI | - | NPPES |
12170374 | Other | UT | CAQH |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207V00000X | Obstetrics & Gynecology | 35095838 (Ohio) | Secondary |
207V00000X | Obstetrics & Gynecology | 51418121205 (Utah) | Secondary |
208D00000X | General Practice | 51418121205 (Utah) | Secondary |
208D00000X | General Practice | 35095838 (Ohio) | 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. Dr David M Wall allows following entities to bill medicare on his behalf.
Entity Name | American Current Care Of Ohio Pa Co |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1023292943 PECOS PAC ID: 0042356073 Enrollment ID: O20091006000303 |
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Entity Name | Signify Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210303002044 |
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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. Dr David M 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 |
Dr David M Wall, MD 935 State Route 28, Milford, OH 45150-1957 Ph: (513) 831-5955 | Dr David M Wall, MD 935 State Route 28, Milford, OH 45150-1957 Ph: (513) 831-5955 |
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