Dr Nathan Frederick Walters, DMD in Louisville, KY - Medicare Maxillofacial Surgery Provider

Dr Nathan Frederick Walters, DMD is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Louisville, Kentucky. He went to University Of Texas Medical School At Houston and graduated in 2004 and has 20 years of diverse experience with area of expertise as Maxillofacial Surgery. He is a member of the group practice Kentuckiana Oral And Maxillofacial Surgery Assoc Psc and his current practice location is 2800 Cannons Ln Ste 200, Louisville, Kentucky. You can reach out to his office (for appointments etc.) via phone at (502) 454-4885.

Dr Nathan Frederick Walters is licensed to practice in Kentucky (license number 8066) 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 1265424907.

Contact Information

	Dr Nathan Frederick Walters, DMD
	2800 Cannons Ln Ste 200, Louisville, KY 40205-2164
	(502) 454-4885
	(502) 452-1926

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Nathan Frederick Walters
Gender	Male
Speciality	Maxillofacial Surgery
Experience	20 Years
Location	2800 Cannons Ln Ste 200, Louisville, Kentucky
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Nathan Frederick Walters attended and graduated from University Of Texas Medical School At Houston in 2004

NPI Data:

NPI Number: 1265424907
Provider Enumeration Date: 08/18/2005
Last Update Date: 11/12/2018

Medicare PECOS Information:

PECOS PAC ID: 7113988890
Enrollment ID: I20041026000247

Medical Identifiers

Medical identifiers for Dr Nathan Frederick Walters such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265424907	NPI	-	NPPES
200498320	Medicaid	IN
000000339061	Other	KY	BC/BS
60002789	Medicaid	KY
64082688	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	8066 (Kentucky)	Primary
204E00000X	Oral & Maxillofacial Surgery	8066 (Kentucky)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kentuckiana Oral And Maxillofacial Surgery Assoc Psc	9638163454	5

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. Dr Nathan Frederick Walters allows following entities to bill medicare on his behalf.

Entity Name	Kentuckiana Oral & Maxillofacial Surgery Assoc Psc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396737011 PECOS PAC ID: 9638163454 Enrollment ID: O20040413001493

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. Dr Nathan Frederick 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
Dr Nathan Frederick Walters, DMD 2800 Cannons Ln Ste 200, Louisville, KY 40205-2164 Ph: (502) 454-4885	Dr Nathan Frederick Walters, DMD 2800 Cannons Ln Ste 200, Louisville, KY 40205-2164 Ph: (502) 454-4885

Reviews and Comments

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Dr Nathan Frederick Walters, DMD - Medicare Dentist in Louisville, KY