Jean Oldham Wall, MD in Dallas, TX - Medicare Anesthesiology

Jean Oldham Wall, MD is a medicare enrolled "Anesthesiology - Pediatric Anesthesiology" physician in Dallas, Texas. Her current practice location is 2222 Welborn St, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at (214) 559-5000.

Jean Oldham Wall is licensed to practice in Texas (license number G5445) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1710982988.

Contact Information

	Jean Oldham Wall, MD
	2222 Welborn St, Dallas, TX 75219-3924
	(214) 559-5000
	(214) 443-7309

Map and Direction

Physician's Profile

Full Name	Jean Oldham Wall
Gender	Female
Speciality	Anesthesiology - Pediatric Anesthesiology
Location	2222 Welborn St, Dallas, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710982988
Provider Enumeration Date: 06/15/2005
Last Update Date: 03/25/2016

Medicare PECOS Information:

PECOS PAC ID: 2163413386
Enrollment ID: I20140528000684

Medical Identifiers

Medical identifiers for Jean Oldham Wall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710982988	NPI	-	NPPES
122889202	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207LP3000X	Anesthesiology - Pediatric Anesthesiology	G5445 (Texas)	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. Jean Oldham Wall allows following entities to bill medicare on her behalf.

Entity Name	Texas Scottish Rite Hospital For Crippled Children
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598188948 PECOS PAC ID: 0446422844 Enrollment ID: O20140505001295

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. Jean Oldham 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
Jean Oldham Wall, MD 2222 Welborn St, Dallas, TX 75219-3924 Ph: (214) 559-5000	Jean Oldham Wall, MD 2222 Welborn St, Dallas, TX 75219-3924 Ph: (214) 559-5000

Reviews and Comments

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Jean Oldham Wall, MD - Medicare Anesthesiology in Dallas, TX