Jo Lena Wall, PA-C is a
Physician Assistant based in Plains, Texas. Jo Lena Wall is licensed to practice in Texas (license number PA02300) and her current practice location is
703 Ave G, Plains, Texas. She can be reached at her office (for appointments etc.) via phone at
(806) 456-6365.
NPI number for Jo Lena Wall is 1154511129 and her current mailing address is 703 Ave G, Plains, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154511129.
Provider's Profile
Full Name | Jo Lena Wall |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 703 Ave G, Plains, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1154511129
- Provider Enumeration Date: 07/26/2007
- Last Update Date: 07/26/2007
Medical Identifiers
Medical identifiers for Jo Lena Wall such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154511129 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | PA02300 (Texas) | 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. Jo Lena Wall is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jo Lena Wall, PA-C 703 Ave G, Plains, TX 79355 Ph: (806) 456-6365 | Jo Lena Wall, PA-C 703 Ave G, Plains, TX 79355 Ph: (806) 456-6365 |
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