Dr Daniel Wall, PHD, LP - Medicare Psychologist in Waterford, MI

Dr Daniel Wall, PHD, LP is a medicare enrolled "Psychologist" provider in Waterford, Michigan. He graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Lifelens Psychological And Counseling Services and his current practice location is 4000 W Walton Blvd Ste B, Waterford, Michigan. You can reach out to his office (for appointments etc.) via phone at (248) 461-6266.

Dr Daniel Wall is licensed to practice in Michigan (license number 6301014904) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1184901969.

Contact Information

Dr Daniel Wall, PHD, LP
4000 W Walton Blvd Ste B,
Waterford, MI 48329-4191
(248) 461-6266
(248) 791-7905

Map and Direction




Healthcare Provider's Profile

Full NameDr Daniel Wall
GenderMale
SpecialityClinical Psychologist
Experience13 Years
Location4000 W Walton Blvd Ste B, Waterford, Michigan
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Daniel Wall graduated from medical school in 2011
  NPI Data:
  • NPI Number: 1184901969
  • Provider Enumeration Date: 11/08/2011
  • Last Update Date: 06/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1759500952
  • Enrollment ID: I20140922000781

Medical Identifiers

Medical identifiers for Dr Daniel Wall such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184901969NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 6301014904 (Michigan)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lifelens Psychological And Counseling Services01435443203

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. Dr Daniel Wall allows following entities to bill medicare on his behalf.
Entity NameLifelens Psychological And Counseling Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083015499
PECOS PAC ID: 0143544320
Enrollment ID: O20150116000583

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. Dr Daniel 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 AddressPractice Location Address
Dr Daniel Wall, PHD, LP
4000 W Walton Blvd Ste B,
Waterford, MI 48329-4191

Ph: (248) 881-6698
Dr Daniel Wall, PHD, LP
4000 W Walton Blvd Ste B,
Waterford, MI 48329-4191

Ph: (248) 461-6266

Reviews and Comments


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Phone: 248-773-1326    Fax: 313-893-0064
Catherine L. Herzog, PH.D.
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Phone: 248-886-1371    Fax: 248-886-1372
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Medicare: Not Enrolled in Medicare
Practice Location: 5619 Highland Rd, Waterford, MI 48327
Phone: 248-828-6260    

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