HOLLY CASEY WALL MD, FACS
NPI 1245229624
Surgery - Plastic and Reconstructive Surgery in Shreveport, LA
About Holly Casey Wall Md, Facs NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HOLLY CASEY WALL MD, FACS (NPI 1245229624) is an individual plastic and reconstructive surgery provider in Shreveport, Louisiana, licensed in Louisiana (L14095R) and active in the NPI registry since October 2005. She has opted out of Medicare through September 29, 2026 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Holly Casey Wall Md, Facs has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 29, 2016 through September 29, 2026.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SHREVEPORT, LA 71105
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Holly Wall's NPI number?
The NPI number for Holly Wall is 1245229624. It was assigned to this individual provider in the NPPES registry on October 18, 2005. The provider is also known as Holly Dawn Casey MD.
Where is Holly Wall located?
Holly Wall practices at 8600 Fern Ave, Shreveport, LA 71105. The listed phone number is (318) 795-0801.
What is Holly Wall's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.
Is Holly Wall enrolled in Medicare?
No. Holly Wall has opted out of Medicare through September 29, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Holly Wall was last updated on April 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
