Wall Street Medical Group - Medicare Primary Care in Jeffersonville, IN

Wall Street Medical Group is a medicare enrolled primary clinic (Internal Medicine) in Jeffersonville, Indiana. The current practice location for Wall Street Medical Group is 443 Spring St Ste 200, Jeffersonville, Indiana. For appointments, you can reach them via phone at (812) 288-8360. The mailing address for Wall Street Medical Group is 443 Spring St Ste 200, Jeffersonville, Indiana and phone number is (812) 288-8360.

Wall Street Medical Group is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1922337617. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (812) 288-8360.

Contact Information

Wall Street Medical Group
443 Spring St Ste 200
Jeffersonville
IN 47130-4494
(812) 288-8360
(812) 288-8375

Map and Direction


Primary Care Clinic Profile

Full NameWall Street Medical Group
SpecialityInternal Medicine
Location443 Spring St Ste 200, Jeffersonville, Indiana
Authorized Official Name and PositionMuhammad I Masroor (OWNER)
Authorized Official Contact8122888360
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Wall Street Medical Group
443 Spring St Ste 200
Jeffersonville
IN 47130-4494

Ph: (812) 288-8360
Wall Street Medical Group
443 Spring St Ste 200
Jeffersonville
IN 47130-4494

Ph: (812) 288-8360

NPI Details:

NPI Number1922337617
Provider Enumeration Date12/09/2009
Last Update Date07/17/2024

Medicare PECOS Information:

Medicare PECOS PAC ID1557380086
Medicare Enrollment IDO20080821000664

Medical Identifiers

Medical identifiers for Wall Street Medical Group such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922337617NPI-NPPES
300025251MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Primary
363L00000XNurse Practitioner (* (Not Available))Secondary
363LF0000XNurse Practitioner - Family (* (Not Available))Secondary
363LP0200XNurse Practitioner - Pediatrics (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Wall Street Medical Group acts as a billing entity for following providers:
Provider NameJose Bada
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1063595452
PECOS PAC ID: 5193791713
Enrollment ID: I20040909000733
Provider NameAgnes Capili Bacala
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1205891744
PECOS PAC ID: 7517971419
Enrollment ID: I20060131000220
Provider NameVirginia Lee Nisbet
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053441444
PECOS PAC ID: 7416967575
Enrollment ID: I20060503000688
Provider NameMuhammad I Masroor
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1043216971
PECOS PAC ID: 5092734525
Enrollment ID: I20080821000662
Provider NameAmy N Ledford
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790126696
PECOS PAC ID: 5294977047
Enrollment ID: I20130919000757
Provider NameBrooke A Miller
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598105660
PECOS PAC ID: 1456595636
Enrollment ID: I20131015000175
Provider NameTina M Woodrome-nethery
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962759274
PECOS PAC ID: 4183872021
Enrollment ID: I20140326002168
Provider NameStacy M Garcia
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588023675
PECOS PAC ID: 7618272733
Enrollment ID: I20160226000491
Provider NameVanessa H Higgins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235594383
PECOS PAC ID: 4880983527
Enrollment ID: I20160518002517
Provider NameJeremy L Wilt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043689672
PECOS PAC ID: 7618239070
Enrollment ID: I20180322001684
Provider NameBrittany D Clunie
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427546373
PECOS PAC ID: 9436413309
Enrollment ID: I20180430001476
Provider NameAmanda J Jackson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922561653
PECOS PAC ID: 8022350966
Enrollment ID: I20190712001593
Provider NameMichelle L Vissing
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740849637
PECOS PAC ID: 0941537906
Enrollment ID: I20190814000354
Provider NameKayla Rushing
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073270161
PECOS PAC ID: 7810387990
Enrollment ID: I20211203000876
Provider NameJoanna L Gullion
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669142477
PECOS PAC ID: 1153711874
Enrollment ID: I20211210001671
Provider NameTrista Bodenstadt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205597515
PECOS PAC ID: 4284026840
Enrollment ID: I20220112000921
Provider NameMegan Horvath
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073222030
PECOS PAC ID: 0648640383
Enrollment ID: I20221221001947

Reviews and Comments


Internal Medicine in Jeffersonville, IN

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Phone: 812-288-2488    Fax: 812-288-6603
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Phone: 812-288-8410    Fax: 812-288-8409
Shaze Medical Group Llc
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Medicare: Medicare Enrolled
Practice Location: 1035 Wall Street Ste 104-c1, Jeffersonville, IN 47130
Phone: 812-282-2218    Fax: 812-282-2252
Viverant Integrative Clinic
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Medicare: Medicare Enrolled
Practice Location: 335 Spring St Ste B, Jeffersonville, IN 47130
Phone: 812-255-1699    
Clark County Health Department
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1201 Wall Street, Jeffersonville, IN 47130
Phone: 812-282-7521    Fax: 812-288-2711
Havens Medical Group Llc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 207 Sparks Avenue, Suite 200, Jeffersonville, IN 47130
Phone: 812-283-4441    Fax: 812-288-2605

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.