Mr Itamar Wall, APRN in Jupiter, FL - Medicare Nurse Practitioner

Mr Itamar Wall, APRN is a medicare enrolled "Nurse Practitioner - Family" in Jupiter, Florida. His current practice location is 1002 S Old Dixie Hwy Ste 204, Jupiter, Florida. You can reach out to his office (for appointments etc.) via phone at (561) 517-8678.

Mr Itamar Wall is licensed to practice in Florida (license number APRN11005498) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1982243630.

Contact Information

	Mr Itamar Wall, APRN
	1002 S Old Dixie Hwy Ste 204, Jupiter, FL 33458-7202
	(561) 517-8678
	(561) 529-5087

Map and Direction

Provider's Profile

Full Name	Mr Itamar Wall
Gender	Male
Speciality	Nurse Practitioner - Family
Location	1002 S Old Dixie Hwy Ste 204, Jupiter, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982243630
Provider Enumeration Date: 12/29/2019
Last Update Date: 09/15/2022

Medicare PECOS Information:

PECOS PAC ID: 2264831544
Enrollment ID: I20210519002231

Medical Identifiers

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

Identifier	Type	State	Issuer
1982243630	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APRN11005498 (Florida)	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. Mr Itamar Wall allows following entities to bill medicare on his behalf.

Entity Name	Personalized And Restorative Wellness Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710574413 PECOS PAC ID: 1951710086 Enrollment ID: O20210503000307

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. Mr Itamar 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
Mr Itamar Wall, APRN 2718 Danforth Ter, Wellington, FL 33414-3418 Ph: (561) 517-8678	Mr Itamar Wall, APRN 1002 S Old Dixie Hwy Ste 204, Jupiter, FL 33458-7202 Ph: (561) 517-8678

Reviews and Comments

Nurse Practitioner Nurses in Jupiter, FL

Michele Shockley, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 136 Jupiter Lakes Blvd, Building 2000, Jupiter, FL 33458 Phone: 561-748-1888
Tiffany Stureman, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5155 Corporate Way, Unit A, Jupiter, FL 33458 Phone: 561-624-0123
Jessica Johnson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3303 Duval St, Jupiter, FL 33458 Phone: 561-248-6875
Kaymie Poldo, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 601 University Blvd Ste 102, Jupiter, FL 33458 Phone: 561-909-0080 Fax: 561-246-3338
Berlyne Louisius, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 210 Jupiter Lakes Blvd Ste 3102, Jupiter, FL 33458 Phone: 561-635-5690 Fax: 561-406-6629
Mary Huser, ARNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 875 Military Trl, Suite 200, Jupiter, FL 33458 Phone: 561-746-2411 Fax: 561-354-0012
Mrs. Mariya Yankelevych, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 210 Jupiter Lakes Blvd, Suite 4104, Jupiter, FL 33458 Phone: 561-743-9077 Fax: 561-743-9937

Mr Itamar Wall, APRN - Medicare Nurse Practitioner in Jupiter, FL