Mary Jean Wall, MD in Cleveland, OH - Medicare Diagnostic Radiology

Mary Jean Wall, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Cleveland, Ohio. She went to Hahnemann Medical College And Hospital - Kansas City - Nlg and graduated in 1982 and has 42 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Columbus Radiology Corp and her current practice location is 1001 Lakeside Ave E Ste 1200, Cleveland, Ohio. You can reach out to her office (for appointments etc.) via phone at (216) 362-2000.

Mary Jean Wall is licensed to practice in Ohio (license number 35059303W) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1265405237.

Contact Information

	Mary Jean Wall, MD
	1001 Lakeside Ave E Ste 1200, Cleveland, OH 44114-1172
	(216) 362-2000
	Not Available

Map and Direction

Physician's Profile

Full Name	Mary Jean Wall
Gender	Female
Speciality	Diagnostic Radiology
Experience	42 Years
Location	1001 Lakeside Ave E Ste 1200, Cleveland, Ohio
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mary Jean Wall attended and graduated from Hahnemann Medical College And Hospital - Kansas City - Nlg in 1982

NPI Data:

NPI Number: 1265405237
Provider Enumeration Date: 02/09/2006
Last Update Date: 11/19/2007

Medicare PECOS Information:

PECOS PAC ID: 9032182829
Enrollment ID: I20040819000075

Medical Identifiers

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

Identifier	Type	State	Issuer
1265405237	NPI	-	NPPES
0783022	Medicaid	OH
P00286495	Other	OH	RAILROAD MC
000000339383	Other	OH	ANTHEM
1018989380001	Medicaid	PA
1018989380002	Medicaid	PA
1018989380003	Medicaid	PA
3810008142	Medicaid	WV

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	35059303W (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mercy St Vincent Medical Center	Toledo, OH	Hospital
Mercy Health - Tiffin Hospital	Tiffin, OH	Hospital
Mercy Health - Defiance Hospital	Defiance, OH	Hospital
Adena Regional Medical Center	Chillicothe, OH	Hospital
St Elizabeth Youngstown Hospital	Youngstown, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Columbus Radiology Corp	6507754983	275

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. Mary Jean Wall allows following entities to bill medicare on her behalf.

Entity Name	Columbus Radiology Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669408159 PECOS PAC ID: 6507754983 Enrollment ID: O20040308000742

Entity Name	Mercy Health Physicians Youngstown, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154636066 PECOS PAC ID: 9234318270 Enrollment ID: O20110124000753

Entity Name	Mercy Health Physicians Youngstown Specialty Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649892225 PECOS PAC ID: 3476950296 Enrollment ID: O20210921003835

Entity Name	Bsmh Cincinnati Imaging Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225797426 PECOS PAC ID: 1850774167 Enrollment ID: O20220819000827

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. Mary Jean 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
Mary Jean Wall, MD 108 W Main St, Po Box 305, Bellevue, OH 44811-1328 Ph: (419) 483-4543	Mary Jean Wall, MD 1001 Lakeside Ave E Ste 1200, Cleveland, OH 44114-1172 Ph: (216) 362-2000

Reviews and Comments

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Mary Jean Wall, MD - Medicare Diagnostic Radiology in Cleveland, OH