Dr Douglas R Wall, DDS - Medicare Dentist in Long Beach, CA

Dr Douglas R Wall, DDS is a medicare enrolled "Dentist" provider in Long Beach, California. His current practice location is 5479 E Abbeyfield St, #4, Long Beach, California. You can reach out to his office (for appointments etc.) via phone at (562) 597-1414.

Dr Douglas R Wall is licensed to practice in California (license number 31417) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1467462002.

Contact Information

Dr Douglas R Wall, DDS
5479 E Abbeyfield St, #4,
Long Beach, CA 90815-3050
(562) 597-1414
(562) 498-6174



Healthcare Provider's Profile

Full NameDr Douglas R Wall
GenderMale
SpecialityDentist
Location5479 E Abbeyfield St, Long Beach, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1467462002
  • Provider Enumeration Date: 08/08/2006
  • Last Update Date: 06/30/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 5698080760
  • Enrollment ID: I20150818006213

Medical Identifiers

Medical identifiers for Dr Douglas R Wall such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467462002NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 31417 (California)Primary

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 Douglas R 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 Douglas R Wall, DDS
5479 E Abbeyfield St, # 4,
Long Beach, CA 90815-3050

Ph: (562) 597-1414
Dr Douglas R Wall, DDS
5479 E Abbeyfield St, #4,
Long Beach, CA 90815-3050

Ph: (562) 597-1414

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› Verified 5 days ago


Dentist in Long Beach, CA

Dr. Vincent Do, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 324 E Anaheim St, Ste C, Long Beach, CA 90813
Phone: 562-435-8100    
Mark T Arima, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2535 Pacific Ave, Long Beach, CA 90806
Phone: 562-424-5050    Fax: 562-997-0537
Michael M. Le, D.D.S
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2150 E South St, Ste. 116, Long Beach, CA 90805
Phone: 562-531-9779    Fax: 562-531-9779
Dr. Celso Sy, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 3601 Elm Ave, Long Beach, CA 90807
Phone: 562-427-8833    Fax: 562-394-0965
Howard Morton Polk Iii, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 5901 E 7th St, Long Beach, CA 90822
Phone: 562-826-8000    
Dr. Maged Zaky Nessim, D.D.S.,INS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 3440 Atlantic Ave Ste 2, Long Beach, CA 90807
Phone: 562-424-0724    Fax: 562-424-8433
Daniel Hoa, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 3943 E Anaheim St, Long Beach, CA 90804
Phone: 562-597-4500    

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