Brianna Katherine Wall, PA is a medicare enrolled "Physician Assistant" in Harwich, Massachusetts. Her current practice location is
16 Vineyard Ln, Harwich, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(774) 209-0612.
Brianna Katherine Wall is licensed to practice in * (Not Available) (license number ) 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 1689315533.
Provider's Profile
Full Name | Brianna Katherine Wall |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 16 Vineyard Ln, Harwich, Massachusetts |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1689315533
- Provider Enumeration Date: 04/05/2022
- Last Update Date: 04/05/2022
Medicare PECOS Information:
- PECOS PAC ID: 4385028224
- Enrollment ID: I20220826001234
Medical Identifiers
Medical identifiers for Brianna Katherine Wall such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689315533 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | (* (Not Available)) | Primary |
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. Brianna Katherine 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 |
Brianna Katherine Wall, PA 16 Vineyard Ln, Harwich, MA 02645-2455 Ph: () - | Brianna Katherine Wall, PA 16 Vineyard Ln, Harwich, MA 02645-2455 Ph: (774) 209-0612 |
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