Dr Cody Ray Walter, DC | |
105 1/2 Locust St, Suite B, Blairstown, IA 52209 | |
(319) 454-6455 | |
(319) 454-0091 |
Full Name | Dr Cody Ray Walter |
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Gender | Male |
Speciality | Chiropractor |
Location | 105 1/2 Locust St, Blairstown, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689760084 | NPI | - | NPPES |
0241828 | Medicaid | IA | |
43744 | Other | IA | WELLMARK |
350052834 | Other | IA | RAILROAD MEDICARE |
208928197 | Other | IA | UNITED HEALTHCARE |
239591 | Other | IA | MIDLAND'S CHOICE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 06430 (Iowa) | Primary |
Provider Name | Walter Family Chiropractic Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1508075524 PECOS PAC ID: 3476633470 Enrollment ID: O20080103000264 |
Mailing Address | Practice Location Address |
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Dr Cody Ray Walter, DC Po Box 267, Blairstown, IA 52209-0267 Ph: (319) 454-6455 | Dr Cody Ray Walter, DC 105 1/2 Locust St, Suite B, Blairstown, IA 52209 Ph: (319) 454-6455 |
Walter Family Chiropractic Inc Chiropractor Medicare: Medicare Enrolled Practice Location: 105 And A Half Locust St, Suite B, Blairstown, IA 52209 Phone: 319-454-6455 Fax: 319-454-0091 | |
Dr. Angela Lynn Walter, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 105 1/2 Locust St, Suite B, Blairstown, IA 52209 Phone: 319-454-6455 Fax: 319-454-0091 |