Mrs Andrea S Wall, ACNP in Tulsa, OK - Medicare Nurse Practitioner

Mrs Andrea S Wall, ACNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Tulsa, Oklahoma. She graduated from nursing school in 2005 and has 19 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ahs Oklahoma Physician Group Llc and her current practice location is 10109 E 79th St, Tulsa, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 286-5131.

Mrs Andrea S Wall is licensed to practice in Oklahoma (license number R0086862) 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 1043284292.

Contact Information

	Mrs Andrea S Wall, ACNP
	10109 E 79th St, Tulsa, OK 74133-4564
	(918) 286-5131
	(918) 249-7532

Map and Direction

Provider's Profile

Full Name	Mrs Andrea S Wall
Gender	Female
Speciality	Nurse Practitioner
Experience	19 Years
Location	10109 E 79th St, Tulsa, Oklahoma
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:

Mrs Andrea S Wall graduated from nursing school in 2005

NPI Data:

NPI Number: 1043284292
Provider Enumeration Date: 02/15/2006
Last Update Date: 02/22/2013

Medicare PECOS Information:

PECOS PAC ID: 5991711566
Enrollment ID: I20070620000117

Medical Identifiers

Medical identifiers for Mrs Andrea S Wall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043284292	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WS0121X	Registered Nurse - Plastic Surgery	R31459 (New Mexico)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	R0086862 (Oklahoma)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Hillcrest Medical Center	Tulsa, OK	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ahs Oklahoma Physician Group Llc	9436122496	302

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. Mrs Andrea S Wall allows following entities to bill medicare on her behalf.

Entity Name	Ctca Physicans Group Of Oklahoma, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053309591 PECOS PAC ID: 2163328774 Enrollment ID: O20031212000074

Entity Name	Ahs Oklahoma Physician Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235182775 PECOS PAC ID: 9436122496 Enrollment ID: O20040817001197

Entity Name	Signify Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210505002298

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. Mrs Andrea S 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
Mrs Andrea S Wall, ACNP 10109 E 79th St, Tulsa, OK 74133-4564 Ph: (918) 286-5131	Mrs Andrea S Wall, ACNP 10109 E 79th St, Tulsa, OK 74133-4564 Ph: (918) 286-5131

Reviews and Comments

Nurse Practitioner Nurses in Tulsa, OK

Jennifer Christa Pimentel, ARNP, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6565 S Yale Ave Ste 209, Tulsa, OK 74136 Phone: 918-392-4550 Fax: 918-392-4551
Casie Nicole Brim, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1919 S Wheeling Ave, Suite 606, Tulsa, OK 74104 Phone: 918-748-7676 Fax: 918-293-3130
Jared Qualls, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1145 S Utica Ave, Suite 460, Tulsa, OK 74104 Phone: 918-579-5749 Fax: 918-579-5762
Adekemi Taiwo, APRN - CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Hillcrest South Medical Plaza, 8803 S. 101 St E. Ave. Suite 350, Tulsa, OK 74133 Phone: 918-615-3750
Stephanie Ann Adame, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12697 E 51st St, Tulsa, OK 74146 Phone: 918-505-3200
Mrs. Susan Elaine Graham, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2408 E 81st St Ste 900, Tulsa, OK 74137 Phone: 918-319-5021 Fax: 918-477-5853
Lisa Michele Sample, AG-ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6161 S Yale Ave, Tulsa, OK 74136 Phone: 918-494-2200

Mrs Andrea S Wall, ACNP - Medicare Nurse Practitioner in Tulsa, OK