Jillian Marie Wall, MD | |
1919 E Thomas Rd, Phoenix, AZ 85016-7710 | |
(602) 933-0777 | |
(602) 933-0755 |
Full Name | Jillian Marie Wall |
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Gender | Female |
Speciality | Hospitalist |
Location | 1919 E Thomas Rd, 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 |
---|---|---|---|
1326321084 | NPI | - | NPPES |
337651901 | Medicaid | TX | |
337651902 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A118542 (California) | Secondary |
208000000X | Pediatrics | P9987 (Texas) | Secondary |
208M00000X | Hospitalist | 52240 (Arizona) | Primary |
Entity Name | Phoenix Children's Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922112044 PECOS PAC ID: 0446278584 Enrollment ID: O20051107000704 |
Mailing Address | Practice Location Address |
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Jillian Marie Wall, MD 3200 E Camelback Rd Ste 250, Phoenix, AZ 85018-2327 Ph: (602) 933-1814 | Jillian Marie Wall, MD 1919 E Thomas Rd, Phoenix, AZ 85016-7710 Ph: (602) 933-0777 |
Dr. Timur Raghib, M.D. Hospitalist Medicare: Medicare Enrolled Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 602-933-0777 | |
Dr. Kenneth Veiga, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1930 E Thomas Rd, Phoenix, AZ 85016 Phone: 602-532-1000 | |
Patrick S Sciara, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 19829 N 27th Ave, Phoenix, AZ 85027 Phone: 623-879-1866 Fax: 623-879-1876 | |
Lindley T Bliss, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 350 W Thomas Rd, Phoenix, AZ 85013 Phone: 602-615-5672 Fax: 902-978-0158 | |
Dr. Nina Souders, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 602-933-0777 | |
Reina Manilal Patel, D.O. Hospitalist Medicare: Medicare Enrolled Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 602-933-0777 Fax: 602-933-0755 | |
Homan Salehi, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 9201 W Thomas Rd, Phoenix, AZ 85037 Phone: 623-327-7313 Fax: 623-327-5437 |