Daniel J Wall, MD - Medicare Dermatology in Corona Del Mar, CA

Daniel J Wall, MD is a medicare enrolled "Dermatology" physician in Corona Del Mar, California. He went to Rutgers, Robert Woood Johnson Medical School and graduated in 1997 and has 27 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Permanente Medical Group Inc and his current practice location is 2121 E Coast Hwy, Ste 250, Corona Del Mar, California. You can reach out to his office (for appointments etc.) via phone at (949) 721-6000.

Daniel J Wall is licensed to practice in California (license number A74764) 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 1508852013.

Contact Information

Daniel J Wall, MD
2121 E Coast Hwy, Ste 250,
Corona Del Mar, CA 92625-1932
(949) 721-6000
(949) 721-6006



Physician's Profile

Full NameDaniel J Wall
GenderMale
SpecialityDermatology
Experience27 Years
Location2121 E Coast Hwy, Corona Del Mar, California
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:
  • Daniel J Wall attended and graduated from Rutgers, Robert Woood Johnson Medical School in 1997
  NPI Data:
  • NPI Number: 1508852013
  • Provider Enumeration Date: 09/21/2005
  • Last Update Date: 02/11/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4789739608
  • Enrollment ID: I20090828000391

Medical Identifiers

Medical identifiers for Daniel J Wall such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508852013NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology A74764 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Permanente Medical Group Inc89219102257800

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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. Daniel J Wall allows following entities to bill medicare on his behalf.
Entity NamePermanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710

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Entity NameCsi Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871909804
PECOS PAC ID: 5890916845
Enrollment ID: O20141016001930

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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. Daniel J 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
Daniel J Wall, MD
2121 E Coast Hwy, Ste 250,
Corona Del Mar, CA 92625-1932

Ph: (925) 952-9003
Daniel J Wall, MD
2121 E Coast Hwy, Ste 250,
Corona Del Mar, CA 92625-1932

Ph: (949) 721-6000

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Dermatology Doctors in Corona Del Mar, CA

Dr. Mark Minh Tran, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 2121 E Coast Hwy Ste 110, Corona Del Mar, CA 92625
Phone: 949-629-4263    Fax: 949-629-4266
Dr. Lina Jacklyn Kennedy, M.D.
Dermatology
Medicare: Medicare Enrolled
Practice Location: 2121 E Coast Hwy Ste 280, Corona Del Mar, CA 92625
Phone: 949-688-1288    
Dr. Madeline Lois Miller, M.D.
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 2600 E Coast Hwy, Suite 200, Corona Del Mar, CA 92625
Phone: 949-721-4161    
Dr. Catherine Hee Yong Lee, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 2121 E Coast Hwy Ste 110, Corona Del Mar, CA 92625
Phone: 949-629-4263    Fax: 949-629-4266

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