Derek Brian Wall, MD - Medicare General Surgery in Janesville, WI

Derek Brian Wall, MD is a medicare enrolled "Surgery - Trauma Surgery" physician in Janesville, Wisconsin. He graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Mercy Health System Corporation, Carle Health Care Incorporated and his current practice location is 1000 Mineral Point Ave, Janesville, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (608) 756-6000.

Derek Brian Wall is licensed to practice in Wisconsin (license number 52043-20) 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 1518937085.

Contact Information

Derek Brian Wall, MD
1000 Mineral Point Ave,
Janesville, WI 53548-2940
(608) 756-6000
Not Available



Physician's Profile

Full NameDerek Brian Wall
GenderMale
SpecialityGeneral Surgery
Experience28 Years
Location1000 Mineral Point Ave, Janesville, Wisconsin
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:
  • Derek Brian Wall graduated from medical school in 1996
  NPI Data:
  • NPI Number: 1518937085
  • Provider Enumeration Date: 01/25/2006
  • Last Update Date: 01/23/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 1951404326
  • Enrollment ID: I20090110000196

Medical Identifiers

Medical identifiers for Derek Brian Wall such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518937085NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery A64368 (California)Secondary
2086S0127XSurgery - Trauma Surgery 52043-20 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercy Health System CorpJanesville, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mercy Health System Corporation7416860440459
Carle Health Care Incorporated3577515774808

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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. Derek Brian Wall allows following entities to bill medicare on his behalf.
Entity NameMercy Health System Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598718603
PECOS PAC ID: 7416860440
Enrollment ID: O20031113000164

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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. Derek Brian 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
Derek Brian Wall, MD
1000 Mineral Point Ave,
Janesville, WI 53548-2940

Ph: (608) 756-6000
Derek Brian Wall, MD
1000 Mineral Point Ave,
Janesville, WI 53548-2940

Ph: (608) 756-6000

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Surgery Doctors in Janesville, WI

David C Lynn, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 510 N Terrace St, Janesville, WI 53548
Phone: 608-756-7277    Fax: 608-373-3115
Mark E Mcdade, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3200 E Racine St, Janesville, WI 53546
Phone: 608-371-8000    Fax: 608-371-8929
Dr. Bohdan K Wasiljew, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 510 N Terrace St, Janesville, WI 53548
Phone: 608-756-7277    
William H Squires, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548
Phone: 608-756-6731    Fax: 608-756-6013
Michael L Rainiero, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3200 E Racine St, Janesville, WI 53546
Phone: 608-371-8000    Fax: 608-371-8929
Dr. Steven L Falk, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 2222 Cornell Ave, Janesville, WI 53545
Phone: 608-755-1395    

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