Michael Wall, is a
Clinical Nurse Specialist - School based in Lindenhurst, New York. Michael Wall is licensed to practice in New York (license number 447785) and his current practice location is
Lindenhurst Middle School, 350 South Wellwood Ave, Lindenhurst, New York. He can be reached at his office (for appointments etc.) via phone at
(631) 867-3510.
NPI number for Michael Wall is 1083300123 and his current mailing address is 25 Lloyd Ln, Nesconset, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1083300123.
Provider's Profile
| Full Name | Michael Wall |
|---|
| Gender | Male |
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| Speciality | Clinical Nurse Specialist - School |
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| Location | Lindenhurst Middle School, Lindenhurst, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1083300123
- Provider Enumeration Date: 04/12/2023
- Last Update Date: 04/12/2023
Medical Identifiers
Medical identifiers for Michael Wall such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083300123 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 364SS0200X | Clinical Nurse Specialist - School | 447785 (New York) | 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. Michael 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 |
|---|
Michael Wall,
25 Lloyd Ln,
Nesconset, NY 11767-2208
Ph: (917) 359-1933 | Michael Wall,
Lindenhurst Middle School, 350 South Wellwood Ave,
Lindenhurst, NY 11757
Ph: (631) 867-3510 |
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