Dr Richard A Wall, MD | |
19841 N 27th Ave, Ste. 101, Phoenix, AZ 85027-4003 | |
(602) 942-8512 | |
(602) 942-1075 |
Full Name | Dr Richard A Wall |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 19841 N 27th Ave, Phoenix, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811971393 | NPI | - | NPPES |
255316 | Medicaid | AZ | |
86080015085260A099 | Other | AZ | TRIWEST |
080088906 | Other | AZ | RAILROAD MEDICARE |
86080015085259A529 | Other | AZ | TRIWEST |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 10250 (Arizona) | Primary |
Entity Name | Honorhealth Medical Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043851793 PECOS PAC ID: 1557274057 Enrollment ID: O20031119000717 |
Entity Name | Sip Home Systems - Sun City Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801427844 PECOS PAC ID: 4981035193 Enrollment ID: O20200501002790 |
Entity Name | Angels Valley Community Healthcare Center Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689303117 PECOS PAC ID: 8628452927 Enrollment ID: O20220906002813 |
Entity Name | Active Vital Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326825092 PECOS PAC ID: 3870942428 Enrollment ID: O20231208000557 |
Mailing Address | Practice Location Address |
---|---|
Dr Richard A Wall, MD 2500 W Utopia Rd, Ste. 100, Phoenix, AZ 85027-4171 Ph: (623) 434-6200 | Dr Richard A Wall, MD 19841 N 27th Ave, Ste. 101, Phoenix, AZ 85027-4003 Ph: (602) 942-8512 |
Dr. Serena Dawn Woods-grimm, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 201 N Central Ave, Phoenix, AZ 85004 Phone: 602-221-6326 | |
Michael Devin Taylor, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2927 N 7th Ave, Peppertree - Family Medicine #3, Phoenix, AZ 85013 Phone: 602-406-3153 Fax: 602-406-4122 | |
Dr. Umar Iqbal, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2927 N 7th Ave, Peppertree Building - Window #3, Phoenix, AZ 85013 Phone: 602-406-3153 Fax: 602-406-7176 | |
Jessica Ann Wright, PA-C Family Medicine Medicare: Medicare Enrolled Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 602-933-1000 | |
Meggan E Bauer, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4250 E Camelback Rd Ste K100, Phoenix, AZ 85018 Phone: 602-224-9218 | |
Dr. James W. Fisher, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 12450 N 32nd St Ste 3, Phoenix, AZ 85032 Phone: 602-996-0924 Fax: 602-482-2624 | |
Geoffrey Peter Radoff, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2525 West Greenway, Suite 210, Phoenix, AZ 85023 Phone: 602-993-0200 Fax: 602-993-0207 |