Dr Ralph Lane Wall Jr, MD is a medicare enrolled "Internal Medicine" physician in Troy, North Carolina. His current practice location is
520 Allen Street, Montgomery Memorial Hospital, Troy, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(910) 571-5360.
Dr Ralph Lane Wall Jr is licensed to practice in North Carolina (license number 27332) 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 1174564611.
Physician's Profile
Full Name | Dr Ralph Lane Wall Jr |
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Gender | Male |
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Speciality | Internal Medicine |
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Location | 520 Allen Street, Troy, North Carolina |
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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: 1174564611
- Provider Enumeration Date: 06/08/2006
- Last Update Date: 09/11/2009
Medicare PECOS Information:
- PECOS PAC ID: 1759453657
- Enrollment ID: I20080710000039
Medical Identifiers
Medical identifiers for Dr Ralph Lane Wall Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174564611 | NPI | - | NPPES |
8985405 | Medicaid | NC | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 27332 (North Carolina) | 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 Ralph Lane Wall Jr allows following entities to bill medicare on his behalf.
Entity Name | Optimed Hospitalists, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1235449125 PECOS PAC ID: 8022204171 Enrollment ID: O20101201000378 |
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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 Ralph Lane Wall Jr 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 Ralph Lane Wall Jr, MD 6960 Harper View Ct, Clemmons, NC 27012-9633 Ph: (336) 766-9108 | Dr Ralph Lane Wall Jr, MD 520 Allen Street, Montgomery Memorial Hospital, Troy, NC 27371 Ph: (910) 571-5360 |
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