Paulette L Walker, MSW, CAAC, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Fargo, North Dakota. Her current practice location is
1121 Westrac Dr S Ste 202, Fargo, North Dakota. You can reach out to her office (for appointments etc.) via phone at
(701) 306-0542.
Paulette L Walker is licensed to practice in North Dakota (license number 4662) 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 1891934873.
Healthcare Provider's Profile
| Full Name | Paulette L Walker |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1121 Westrac Dr S Ste 202, Fargo, North Dakota |
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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: 1891934873
- Provider Enumeration Date: 02/13/2009
- Last Update Date: 10/23/2020
Medicare PECOS Information:
- PECOS PAC ID: 4183748395
- Enrollment ID: I20130703000292
Medical Identifiers
Medical identifiers for Paulette L Walker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891934873 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 201903 (Michigan) | Secondary |
| 1041C0700X | Social Worker - Clinical | 4662 (North Dakota) | Primary |
| 1041C0700X | Social Worker - Clinical | 6801089731 (Michigan) | Secondary |
| 3747P1801X | Technician - Personal Care Attendant | (* (Not Available)) | Secondary |
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. Paulette L Walker 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 |
|---|
Paulette L Walker, MSW, CAAC, LICSW
2213 15th St S,
Fargo, ND 58103-5231
Ph: (701) 639-2421 | Paulette L Walker, MSW, CAAC, LICSW
1121 Westrac Dr S Ste 202,
Fargo, ND 58103-2385
Ph: (701) 306-0542 |
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