Carla A Wall, PHD LCP in Richmond, VA - Medicare Psychologist Provider

Carla A Wall, PHD LCP is a medicare enrolled "Psychologist - Clinical" provider in Richmond, Virginia. Her current practice location is 2924 Brook Rd, Richmond, Virginia. You can reach out to her office (for appointments etc.) via phone at (804) 828-2467.

Carla A Wall is licensed to practice in Virginia (license number 0810008301) 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 1821768342.

Contact Information

	Carla A Wall, PHD LCP
	2924 Brook Rd, Richmond, VA 23220-1215
	(804) 828-2467
	(804) 628-1236

Map and Direction

Healthcare Provider's Profile

Full Name	Carla A Wall
Gender	Female
Speciality	Psychologist - Clinical
Location	2924 Brook Rd, Richmond, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821768342
Provider Enumeration Date: 09/16/2021
Last Update Date: 03/15/2024

Medicare PECOS Information:

PECOS PAC ID: 1951749738
Enrollment ID: I20240329002768

Medical Identifiers

Medical identifiers for Carla A Wall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821768342	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	0810008301 (Virginia)	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. Carla A Wall allows following entities to bill medicare on her behalf.

Entity Name	Mcv Associated Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710959457 PECOS PAC ID: 4385542117 Enrollment ID: O20031230000559

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. Carla A 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
Carla A Wall, PHD LCP Po Box 780125, Philadelphia, PA 19178-0125 Ph: (804) 922-4844	Carla A Wall, PHD LCP 2924 Brook Rd, Richmond, VA 23220-1215 Ph: (804) 828-2467

Reviews and Comments

Psychologist in Richmond, VA

Paul Douglas Dukarm, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 8730 Stony Point Pkwy, Richmond, VA 23235 Phone: 804-327-1166 Fax: 804-327-1170
Sarah Buchheit Reyes, LCP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 530 E Main St Ste 530, Richmond, VA 23219 Phone: 804-648-0169 Fax: 804-649-4069
Dr. Jeremy Wayne Stout, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1207 Broad Rock Blvd, Richmond, VA 23249 Phone: 804-675-5000
Caitlin Rose Larsen-morales, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1308 Sherwood Ave, Richmond, VA 23220 Phone: 804-828-3129
Dr. Alan Frank Kleinkopf, PSY.D. Psychologist Medicare: May Accept Medicare Assignments Practice Location: 5315 Cutshaw Ave, Richmond, VA 23226 Phone: 804-282-1331
John Christian Colletti, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 9515 Catesby Ln, Richmond, VA 23238 Phone: 804-741-7500 Fax: 804-741-7900
Dr. Stephan Raab Weinland, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1250 E Marshall St, Psychiatry, Richmond, VA 23298 Phone: 804-828-2000 Fax: 804-828-7675

Carla A Wall, PHD LCP - Medicare Psychologist in Richmond, VA