Dr Walter Andrews Thames Jr, DMD is a medicare enrolled "Dentist - General Practice" provider in Nettleton, Mississippi. His current practice location is
228 Main Street, Nettleton, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(662) 963-7338.
Dr Walter Andrews Thames Jr is licensed to practice in Mississippi (license number 2204-85) 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 1104914431.
Healthcare Provider's Profile
Full Name | Dr Walter Andrews Thames Jr |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 228 Main Street, Nettleton, Mississippi |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1104914431
- Provider Enumeration Date: 10/11/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 1951623420
- Enrollment ID: I20141211001768
Medical Identifiers
Medical identifiers for Dr Walter Andrews Thames Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104914431 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 2204-85 (Mississippi) | Primary |
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 Walter Andrews Thames Jr 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 Walter Andrews Thames Jr, DMD Po Box 388, 228 Main Street, Nettleton, MS 38858-0388 Ph: (662) 963-7338 | Dr Walter Andrews Thames Jr, DMD 228 Main Street, Nettleton, MS 38858 Ph: (662) 963-7338 |
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