Kevin S Wall, in Saint Paul, MN - Medicare Preventive Medicine

Kevin S Wall, is a medicare enrolled "Preventive Medicine - Occupational Medicine" physician in Saint Paul, Minnesota. His current practice location is 1661 Saint Anthony Ave, Saint Paul, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 968-5300.

Kevin S Wall is licensed to practice in Minnesota (license number 38367) 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 1508843335.

Contact Information

	Kevin S Wall,
	1661 Saint Anthony Ave, Saint Paul, MN 55104-3733
	(651) 968-5300
	(651) 646-0205

Map and Direction

Physician's Profile

Full Name	Kevin S Wall
Gender	Male
Speciality	Preventive Medicine - Occupational Medicine
Location	1661 Saint Anthony Ave, Saint Paul, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508843335
Provider Enumeration Date: 12/22/2005
Last Update Date: 07/02/2015

Medicare PECOS Information:

PECOS PAC ID: 3870525462
Enrollment ID: I20050902000639

Medical Identifiers

Medical identifiers for Kevin S Wall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508843335	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2083X0100X	Preventive Medicine - Occupational Medicine	38367 (Minnesota)	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. Kevin S Wall allows following entities to bill medicare on his behalf.

Entity Name	Summit Orthopedics Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306899463 PECOS PAC ID: 8921900374 Enrollment ID: O20040126000035

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. Kevin S 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
Kevin S Wall, 710 Commerce Dr Ste 200, Woodbury, MN 55125-4925 Ph: (651) 968-5904	Kevin S Wall, 1661 Saint Anthony Ave, Saint Paul, MN 55104-3733 Ph: (651) 968-5300

Reviews and Comments

Preventive Medicine Doctors in Saint Paul, MN

Dr. Larry Ray Zobel, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 220 6w 08 3m Ctr, Saint Paul, MN 55144 Phone: 651-733-5181 Fax: 651-733-5152
Dr. Francis Yogo Ngwa, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 627 Aurora Ave, Saint Paul, MN 55104 Phone: 414-975-3973
Austin N Indritz, MD Preventive Medicine Medicare: Medicare Enrolled Practice Location: 1661 Saint Anthony Ave, Saint Paul, MN 55104 Phone: 651-842-5220
Pei Mi, M.D, PH.D, MPH Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 205 Wabasha St S, Mail Stop: 31300a, Saint Paul, MN 55107 Phone: 651-293-8269
Dr. Karega Y Paisley, M.D.M.P.H Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 205 Wabasha St S, Saint Paul, MN 55107 Phone: 651-293-8269
Michael S. K. Lockheart, MD, MPH Preventive Medicine Medicare: Medicare Enrolled Practice Location: 1661 Saint Anthony Ave Fl 1, Saint Paul, MN 55104 Phone: 651-968-5600
Dr. John L Kipp, M.D. Preventive Medicine Medicare: Medicare Enrolled Practice Location: 1661 Saint Anthony Ave, Saint Paul, MN 55104 Phone: 651-968-5300 Fax: 651-646-0205

Kevin S Wall, - Medicare Preventive Medicine in Saint Paul, MN