FORREST P WALL M.D.
NPI 1699758474
Surgery - Plastic and Reconstructive Surgery in Shreveport, LA
About Forrest P Wall M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FORREST P WALL M.D. (NPI 1699758474) is an individual plastic and reconstructive surgery provider in Shreveport, Louisiana, licensed in Louisiana (10089R) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Willis Knighton Medical Center, and is a graduate of University Of Texas Medical Branch At Galveston (1992).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Forrest P Wall M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Willis Knighton Medical Center
Acute Care Hospitals · Shreveport, LAFrequently 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 Forrest Wall's NPI number?
The NPI number for Forrest Wall is 1699758474. It was assigned to this individual provider in the NPPES registry on November 25, 2005.
Where is Forrest Wall located?
Forrest Wall practices at 385 Bert Kouns Industrial Loop Ste 100, Shreveport, LA 71106. The listed phone number is (318) 221-1629.
What is Forrest Wall's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.
Is Forrest Wall enrolled in Medicare?
Yes. Forrest Wall is registered in the Medicare PECOS enrollment system.
What insurance does Forrest Wall accept?
Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Forrest Wall as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Forrest Wall affiliated with any hospitals?
According to CMS data, Forrest Wall is affiliated with Willis Knighton Medical Center.
When was this NPI record last updated?
The NPPES record for Forrest Wall was last updated on July 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Forrest P Wall, M.D. · NPI 1699758474
Plastic and Reconstructive Surgery physician in Shreveport, Louisiana. Individual provider, active in the CMS NPPES registry since November 25, 2005.
## Identity
- **NPI:** 1699758474 (Entity type: Individual)
- **Enumerated:** November 25, 2005
- **Primary specialty:** Surgery - Plastic and Reconstructive Surgery · taxonomy 2086S0122X
- **State license:** 10089R (Louisiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 385 BERT KOUNS INDUSTRIAL LOOP STE 100, Shreveport, LA 71106-8159
- **Phone:** (318) 221-1629 · **Fax:** (318) 221-6308
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of Texas Medical Branch At Galveston, class of 1992
## Record status
- **NPPES last updated:** July 12, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1699758474) · Data from the CMS NPPES public registry.