| Trevor G Wall, PA-C | |
|
1 Mercado St, Ste 202, Durango, CO 81301-7306 | |
| (970) 247-5362 | |
| (970) 259-6045 |
| Full Name | Trevor G Wall |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 17 Years |
| Location | 1 Mercado St, Durango, Colorado |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366871972 | NPI | - | NPPES |
| 57729301 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA2013-0074 (New Mexico) | Secondary |
| 363A00000X | Physician Assistant | PA. 0003986 (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Regional Medical Center | Durango, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Catholic Health Initiatives Colorado | 8022927342 | 972 |
| Mailing Address | Practice Location Address |
|---|---|
| Trevor G Wall, PA-C 1 Mercado St, Ste 202, Durango, CO 81301-7306 Ph: (970) 247-5362 | Trevor G Wall, PA-C 1 Mercado St, Ste 202, Durango, CO 81301-7306 Ph: (970) 247-5362 |
Christopher A Stewart, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2577 Main Ave, Durango, CO 81301 Phone: 970-247-8382 Fax: 970-259-4403 | |
Peter E Jamieson, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1 Mercado St, Suite 202, Durango, CO 81301 Phone: 970-247-5362 Fax: 970-259-6045 | |
Lexi Kathryn Querio, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 810 E 3rd St, Suite 201, Durango, CO 81301 Phone: 970-764-1790 Fax: 970-375-7927 | |
Natalie Stilwell, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 575 Rivergate Ln Unit 205, Durango, CO 81301 Phone: 970-259-5990 | |
Jessica Harrison, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1201 Main Ave, Suite 203, Durango, CO 81301 Phone: 970-403-0555 Fax: 970-403-0556 | |
Patrick Ely, PA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 2577 Main Ave, Durango, CO 81301 Phone: 970-247-8382 Fax: 970-259-4403 | |
Valerie Mehaffie, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1800 E 3rd Ave, Suite 107, Durango, CO 81301 Phone: 970-403-0555 Fax: 970-403-0557 |