Dr Russell Keith Wall, DDS - Medicare Dentist in Branson, MO

Dr Russell Keith Wall, DDS is a medicare enrolled "Dentist - General Practice" provider in Branson, Missouri. His current practice location is 221 W College St, Branson, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 334-5999.

Dr Russell Keith Wall is licensed to practice in Missouri (license number 14141) 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 1235385428.

Contact Information

Dr Russell Keith Wall, DDS
221 W College St,
Branson, MO 65616
(417) 334-5999
Not Available



Healthcare Provider's Profile

Full NameDr Russell Keith Wall
GenderMale
SpecialityDentist - General Practice
Location221 W College St, Branson, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1235385428
  • Provider Enumeration Date: 08/07/2008
  • Last Update Date: 08/07/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 4587985312
  • Enrollment ID: I20150605000519

Medical Identifiers

Medical identifiers for Dr Russell Keith Wall such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235385428NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 14141 (Missouri)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 Russell Keith 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 Russell Keith Wall, DDS
221 W College St,
Branson, MO 65616

Ph: (417) 334-5999
Dr Russell Keith Wall, DDS
221 W College St,
Branson, MO 65616

Ph: (417) 334-5999

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› Verified 1 days ago


Dentist in Branson, MO

Dr. Gabriel Keith Harr, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 153 S Payne Stewart Dr, Branson, MO 65616
Phone: 417-544-1570    
Dr. Pamela M Bacon, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 515 Bee Creek Rd, Branson, MO 65616
Phone: 417-336-8478    
Dr. Andrea Jolynn Eidson, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 714 State Highway 248 Ste 515, Branson, MO 65616
Phone: 417-336-4233    
Dr. Richard Tallon,
Dentist
Medicare: Medicare Enrolled
Practice Location: 515 Bee Creek Rd, Branson, MO 65616
Phone: 417-336-8478    
Dr. Adam Bennett, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 168 S Payne Stewart Dr Ste 100, Branson, MO 65616
Phone: 870-577-7286    
Joshua William Gardner, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 515 Bee Creek Rd, Branson, MO 65616
Phone: 417-336-8478    

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