Clinton Michael Walters, LCSW, LCAS is a medicare enrolled "Social Worker - Clinical" provider in Raleigh, North Carolina. He graduated from healthcare school in 2016 and has 8 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Duke University Affiliated Physicians Inc and his current practice location is
1001 Rock Quarry Rd, Raleigh, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(919) 833-3111.
Clinton Michael Walters is licensed to practice in North Carolina (license number C011626) 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 1700354156.
Healthcare Provider's Profile
| Full Name | Clinton Michael Walters |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 8 Years |
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| Location | 1001 Rock Quarry Rd, Raleigh, North Carolina |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Clinton Michael Walters graduated from medical school in 2016
NPI Data:
- NPI Number: 1700354156
- Provider Enumeration Date: 11/04/2018
- Last Update Date: 01/16/2019
Medicare PECOS Information:
- PECOS PAC ID: 9830430792
- Enrollment ID: I20190403001413
Medical Identifiers
Medical identifiers for Clinton Michael Walters such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1700354156 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCAS-23147 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | C011626 (North Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Duke University Affiliated Physicians Inc | 3779489588 | 438 |
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. Clinton Michael Walters allows following entities to bill medicare on his behalf.
| Entity Name | Duke University Affiliated Physicians Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316975972
PECOS PAC ID: 3779489588
Enrollment ID: O20031211000642 |
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| Entity Name | Advance Community Health Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245223783
PECOS PAC ID: 3577471697
Enrollment ID: O20040824000695 |
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| Entity Name | Advance Community Health Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952760290
PECOS PAC ID: 3577471697
Enrollment ID: O20210119000168 |
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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. Clinton Michael Walters 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 |
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Clinton Michael Walters, LCSW, LCAS
1001 Rock Quarry Rd,
Raleigh, NC 27610-3825
Ph: (919) 833-3111 | Clinton Michael Walters, LCSW, LCAS
1001 Rock Quarry Rd,
Raleigh, NC 27610-3825
Ph: (919) 833-3111 |
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