Mrs Christine Marie Wall, RN in Port Jefferson Station, NY

Mrs Christine Marie Wall, RN is a medicare enrolled "Registered Nurse - Home Health" in Port Jefferson Station, New York. Her current practice location is 29 Pagnotta Dr, Port Jefferson Station, New York. You can reach out to her office (for appointments etc.) via phone at (631) 828-2905.

Mrs Christine Marie Wall is licensed to practice in New York (license number 528246-1) 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 1003976481.

Contact Information

	Mrs Christine Marie Wall, RN
	29 Pagnotta Dr, Port Jefferson Station, NY 11776-4454
	(631) 828-2905
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Christine Marie Wall
Gender	Female
Speciality	Registered Nurse - Home Health
Location	29 Pagnotta Dr, Port Jefferson Station, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003976481
Provider Enumeration Date: 12/08/2006
Last Update Date: 07/09/2007

Medicare PECOS Information:

PECOS PAC ID: 5294145280
Enrollment ID: I20201103000447

Medical Identifiers

Medical identifiers for Mrs Christine Marie Wall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003976481	NPI	-	NPPES
02521699	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WH0200X	Registered Nurse - Home Health	528246-1 (New York)	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. Mrs Christine Marie Wall allows following entities to bill medicare on her behalf.

Entity Name	Samaritan Medical Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124184544 PECOS PAC ID: 7012016009 Enrollment ID: O20070727000051

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 Christine Marie 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 Christine Marie Wall, RN 29 Pagnotta Dr, Port Jefferson Station, NY 11776-4454 Ph: (631) 828-2905	Mrs Christine Marie Wall, RN 29 Pagnotta Dr, Port Jefferson Station, NY 11776-4454 Ph: (631) 828-2905

Reviews and Comments

Registered Nurse Nurses in Port Jefferson Station, NY

Natalie Konopka, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 25 Evergreen Ave, Port Jefferson Station, NY 11776 Phone: 631-375-7675
Mrs. Marie E Walsh, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 32 Kensington Way, Port Jefferson Station, NY 11776 Phone: 631-495-8445
John C Fuhr, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 48 Joline Rd, Port Jefferson Station, NY 11776 Phone: 516-982-2846
Jeanmarie Williams, RN, LMSW Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 176 Sterling St, Port Jefferson Station, NY 11776 Phone: 631-804-5464
Mrs. Jeannette Lillian Rodgers, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 16 Gary Street, Port Jefferson Station, NY 11776 Phone: 631-828-2792 Fax: 631-828-2792
Jaclyn Roseann Cuccinello, NP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 5225 Rte 347 Ste 70, Port Jefferson Station, NY 11776 Phone: 631-331-8777 Fax: 631-474-9169

Mrs Christine Marie Wall, RN - Medicare Registered Nurse in Port Jefferson Station, NY