Donna W Wall, CRNA in Concord, NC - Medicare Nurse Anesthetist, Certified Registered

Donna W Wall, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Concord, North Carolina. Her current practice location is 920 Church St N, Concord, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 783-4235.

Donna W Wall is licensed to practice in North Carolina (license number 076344) 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 1285653188.

Contact Information

	Donna W Wall, CRNA
	920 Church St N, Concord, NC 28025-2927
	(704) 783-4235
	(704) 783-2527

Map and Direction

Provider's Profile

Full Name	Donna W Wall
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	920 Church St N, Concord, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285653188
Provider Enumeration Date: 07/19/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 2567471956
Enrollment ID: I20060412000562

Medical Identifiers

Medical identifiers for Donna W Wall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285653188	NPI	-	NPPES
8050871	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	076344 (North Carolina)	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. Donna W Wall allows following entities to bill medicare on her behalf.

Entity Name	Gateway Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548401789 PECOS PAC ID: 6002966694 Enrollment ID: O20090602000253

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. Donna W 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
Donna W Wall, CRNA 18240 Pages End, Davidson, NC 28036-8001 Ph: (704) 892-4061	Donna W Wall, CRNA 920 Church St N, Concord, NC 28025-2927 Ph: (704) 783-4235

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Concord, NC

Gail Sutton Wooley, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-355-2000
Justice L Edmond, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-403-3000
Terri Crockett, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-783-4235
Mary Jean Detchemendy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-783-4235 Fax: 704-783-2527
Mr. Michael T Roberts, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-783-1622 Fax: 704-783-2527
Janet Patty, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-783-4235
Virginia Norris Rogers, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-783-4235

Donna W Wall, CRNA - Medicare Nurse Anesthetist, Certified Registered in Concord, NC