Misty Lynn Walter, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Greenup, Kentucky. Her current practice location is
57 Dora Lane, Greenup, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(606) 473-7333.
Misty Lynn Walter is licensed to practice in Kentucky (license number 1258) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1922028737.
Healthcare Provider's Profile
| Full Name | Misty Lynn Walter |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 57 Dora Lane, Greenup, Kentucky |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1922028737
- Provider Enumeration Date: 07/21/2006
- Last Update Date: 05/15/2014
Medicare PECOS Information:
- PECOS PAC ID: 8729029327
- Enrollment ID: I20050513000151
Medical Identifiers
Medical identifiers for Misty Lynn Walter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922028737 | NPI | - | NPPES |
| 30610026 | Medicaid | KY | |
| 000000346980 | Other | | ANTHEM BCBS |
| 11688094 | Other | | CAQH |
| 1982615043 | Other | | GRP NPI |
| 1221659 | Other | | CHA |
| P00372124 | Other | | PALMETTO - RR MCR |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 1258 (Kentucky) | Primary |
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. Misty Lynn Walter allows following entities to bill medicare on her behalf.
| Entity Name | Jennifer R Smith |
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| Entity Type | Practitioner - Clinical Social Worker |
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| Entity Identifiers | NPI Number: 1881115061
PECOS PAC ID: 7214263557
Enrollment ID: I20190724003952 |
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| Entity Name | Mountain Comprehensive Care Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760491674
PECOS PAC ID: 5294720553
Enrollment ID: O20040416000380 |
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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. Misty Lynn Walter 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 Address | Practice Location Address |
|---|
Misty Lynn Walter, LCSW
900 Beasley St,
Lexington, KY 40509-4266
Ph: (859) 254-1035 | Misty Lynn Walter, LCSW
57 Dora Lane,
Greenup, KY 41144
Ph: (606) 473-7333 |
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