Louis Walthall, LCSWR, CASAC is a medicare enrolled "Social Worker - Clinical" provider in Ronkonkoma, New York. His current practice location is
3281 Veterans Memorial Hwy Ste E14, Ronkonkoma, New York. You can reach out to his office (for appointments etc.) via phone at
(631) 471-3122.
Louis Walthall is licensed to practice in New York (license number 051661) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1558502880.
Healthcare Provider's Profile
| Full Name | Louis Walthall |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 3281 Veterans Memorial Hwy Ste E14, Ronkonkoma, New York |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1558502880
- Provider Enumeration Date: 03/17/2009
- Last Update Date: 02/22/2018
Medicare PECOS Information:
- PECOS PAC ID: 4284997289
- Enrollment ID: I20180404000755
Medical Identifiers
Medical identifiers for Louis Walthall such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558502880 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 73 051661 (New York) | Secondary |
| 101YM0800X | Counselor - Mental Health | 73 051661 (New York) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 9438 (New York) | Secondary |
| 1041C0700X | Social Worker - Clinical | 051661 (New York) | 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. Louis Walthall allows following entities to bill medicare on his behalf.
| Entity Name | Nassau Psychology, P.c. |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1750763538
PECOS PAC ID: 1951690254
Enrollment ID: O20160926000792 |
|---|
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. Louis Walthall 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 |
|---|
Louis Walthall, LCSWR, CASAC
3281 Veterans Memorial Hwy Ste E14,
Ronkonkoma, NY 11779-7675
Ph: (631) 471-3122 | Louis Walthall, LCSWR, CASAC
3281 Veterans Memorial Hwy Ste E14,
Ronkonkoma, NY 11779-7675
Ph: (631) 471-3122 |
Reviews and Comments