Dr Devdas Wali, MD is a medicare enrolled "Plastic Surgery" physician in Pomona, California. He went to State University Of Ny Upstate Medical University and graduated in 1996 and has 28 years of diverse experience with area of expertise as Plastic And Reconstructive 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.
Dr Devdas Wali is licensed to practice in California (license number A78108) 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 1811909732.
Physician's Profile
| Full Name | Dr Devdas Wali |
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| Gender | Male |
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| Speciality | Plastic And Reconstructive Surgery |
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| Experience | 28 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. |
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Medical Education and Training:
- Dr Devdas Wali attended and graduated from State University Of Ny Upstate Medical University in 1996
NPI Data:
- NPI Number: 1811909732
- Provider Enumeration Date: 08/12/2006
- Last Update Date: 11/16/2010
Medicare PECOS Information:
- PECOS PAC ID: 6901835701
- Enrollment ID: I20050811000753
Medical Identifiers
Medical identifiers for Dr Devdas Wali such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1811909732 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208200000X | Plastic Surgery | A78108 (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. Dr Devdas Wali allows following entities to bill medicare on his behalf.
| Entity Name | Plastic Surgery So Cal Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609178961
PECOS PAC ID: 8820278922
Enrollment ID: O20110207000644 |
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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 Devdas 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 |
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Dr Devdas Wali, MD
350 Vinton Ave, 102,
Pomona, CA 91767-3000
Ph: (909) 865-0400 | Dr Devdas Wali, MD
155 W Willow St,
Pomona, CA 91768-1829
Ph: (909) 865-2626 |
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