Kaci Wall, CRNP in Plains, PA - Medicare Nurse Practitioner

Kaci Wall, CRNP is a medicare enrolled "Nurse Practitioner" in Plains, Pennsylvania. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Northeastern Pennsylvania Cardiology Associates Llp and her current practice location is 220 S River St, Plains, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (570) 824-8151.

Kaci Wall is licensed to practice in Pennsylvania (license number XXXXXXX) 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 1467982876.

Contact Information

	Kaci Wall, CRNP
	220 S River St, Plains, PA 18705-1137
	(570) 824-8151
	Not Available

Map and Direction

Provider's Profile

Full Name	Kaci Wall
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	220 S River St, Plains, Pennsylvania
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:

Kaci Wall graduated from nursing school in 2017

NPI Data:

NPI Number: 1467982876
Provider Enumeration Date: 06/18/2017
Last Update Date: 07/23/2024

Medicare PECOS Information:

PECOS PAC ID: 4082970108
Enrollment ID: I20171106002917

Medical Identifiers

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

Identifier	Type	State	Issuer
1467982876	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	XXXXXXX (Pennsylvania)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Wilkes-barre General Hospital	Wilkes-barre, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northeastern Pennsylvania Cardiology Associates Llp	1052384658	6

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. Kaci Wall allows following entities to bill medicare on her behalf.

Entity Name	Northeastern Pennsylvania Cardiology Associates Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043351281 PECOS PAC ID: 1052384658 Enrollment ID: O20040812001261

Entity Name	Pennsylvania Physician Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497059802 PECOS PAC ID: 1153507025 Enrollment ID: O20110511000343

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. Kaci 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
Kaci Wall, CRNP 49 Allenberry Dr, Hanover Township, PA 18706-1481 Ph: (570) 328-5800	Kaci Wall, CRNP 220 S River St, Plains, PA 18705-1137 Ph: (570) 824-8151

Reviews and Comments

Nurse Practitioner Nurses in Plains, PA

London Nicole Mckenna, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11 Gallagher Dr, Plains, PA 18705 Phone: 570-970-1030 Fax: 570-970-0511
Mr. Christopher Dominick Ellis, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 667 N River St #201, Plains, PA 18705 Phone: 570-823-1111
Mrs. Catherine Forlenza, C.R.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 672 N River St, Suite 111, Plains, PA 18705 Phone: 570-552-7150 Fax: 570-552-7155
M Jane D'alessandro, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11 Gallagher Drive, Plains, PA 18705 Phone: 570-970-1030 Fax: 570-970-0511
Alicia E Novak, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 672 S River St, Plains, PA 18705 Phone: 570-552-7170 Fax: 570-552-7169

Kaci Wall, CRNP - Medicare Nurse Practitioner in Plains, PA