Kamika Sharee Wall, in Olive Branch, MS - Medicare Nurse Practitioner

Kamika Sharee Wall, is a medicare enrolled "Nurse Practitioner" in Olive Branch, Mississippi. Her current practice location is 7040 Wind Stone Blvd Ste 150, Olive Branch, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 874-5828.

Kamika Sharee Wall is licensed to practice in Tennessee (license number 24058) 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 1285137380.

Contact Information

	Kamika Sharee Wall,
	7040 Wind Stone Blvd Ste 150, Olive Branch, MS 38654-9090
	(662) 874-5828
	(662) 874-5870

Map and Direction

Provider's Profile

Full Name	Kamika Sharee Wall
Gender	Female
Speciality	Nurse Practitioner
Location	7040 Wind Stone Blvd Ste 150, Olive Branch, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285137380
Provider Enumeration Date: 03/14/2018
Last Update Date: 01/07/2024

Medicare PECOS Information:

PECOS PAC ID: 0648523209
Enrollment ID: I20181029000949

Medical Identifiers

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

Identifier	Type	State	Issuer
1285137380	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	169468 (Tennessee)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	905658 (Mississippi)	Secondary
163W00000X	Registered Nurse	916499 (Mississippi)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	24058 (Tennessee)	Secondary
363L00000X	Nurse Practitioner	24058 (Tennessee)	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. Kamika Sharee Wall allows following entities to bill medicare on her behalf.

Entity Name	Carelon Medical Partners, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124443403 PECOS PAC ID: 9931332111 Enrollment ID: O20140424001338

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. Kamika Sharee 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
Kamika Sharee Wall, Po Box 515, Cordova, TN 38088-0515 Ph: (901) 484-9099	Kamika Sharee Wall, 7040 Wind Stone Blvd Ste 150, Olive Branch, MS 38654-9090 Ph: (662) 874-5828

Reviews and Comments

Nurse Practitioner Nurses in Olive Branch, MS

Carolyn Wong, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4064 Sidlehill Dr, Olive Branch, MS 38654 Phone: 601-842-9006
Brittany Nikita Carper, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6674 Goodman Rd, Olive Branch, MS 38654 Phone: 662-985-7806
Jennifer C Sanders, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5480 Goodman Rd Ste 1, Olive Branch, MS 38654 Phone: 662-874-6507 Fax: 662-932-8197
Mrs. Misty Moore Ivy, C.R.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7203 Goodman Rd, Olive Branch, MS 38654 Phone: 901-759-2322
Wanda Brown, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4240 Bethel Rd Ste 101, Olive Branch, MS 38654 Phone: 662-932-9544 Fax: 662-932-9554
Kori Swearengen, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9075 Sandidge Center Cv, Olive Branch, MS 38654 Phone: 662-895-4949 Fax: 662-895-6776
Queen Mcghee, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4250 Bethel Rd, Olive Branch, MS 38654 Phone: 662-932-9111

Kamika Sharee Wall, - Medicare Nurse Practitioner in Olive Branch, MS