Kimberly Walters, DMD in Minneapolis, MN - Medicare Dentist Provider

Kimberly Walters, DMD is a medicare enrolled "Dentist" provider in Minneapolis, Minnesota. Her current practice location is 701 Park Avenue South, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 873-3000.

Kimberly Walters is licensed to practice in Arizona (license number D008447) 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 1710236799.

Contact Information

	Kimberly Walters, DMD
	701 Park Avenue South, Minneapolis, MN 55415
	(612) 873-3000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kimberly Walters
Gender	Female
Speciality	Dentist
Location	701 Park Avenue South, Minneapolis, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710236799
Provider Enumeration Date: 09/05/2012
Last Update Date: 04/22/2020

Medicare PECOS Information:

PECOS PAC ID: 1951602085
Enrollment ID: I20230904000137

Medical Identifiers

Medical identifiers for Kimberly Walters such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710236799	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	D10041 (Oregon)	Secondary
1223G0001X	Dentist - General Practice	61829 (California)	Secondary
122300000X	Dentist	D008447 (Arizona)	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. Kimberly Walters allows following entities to bill medicare on her behalf.

Entity Name	Maricopa County Special Health Care District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073576740 PECOS PAC ID: 4688583651 Enrollment ID: O20031204000823

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. Kimberly 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
Kimberly Walters, DMD 1251 Lancaster Dr Ne, Suite A, Salem, OR 97301 Ph: (503) 391-2219	Kimberly Walters, DMD 701 Park Avenue South, Minneapolis, MN 55415 Ph: (612) 873-3000

Reviews and Comments

Dentist in Minneapolis, MN

Dr. Brian J Chase, DMD Dentist Medicare: Medicare Enrolled Practice Location: 515 Delaware St Se, Minneapolis, MN 55455 Phone: 617-895-7348
Dr. Jennifer Lynn Bonamici, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 515 Delaware St Se, Minneapolis, MN 55455 Phone: 612-625-5000
Joanna Christine Bourain, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1313 Penn Ave N, Minneapolis, MN 55411 Phone: 805-729-0090
Dr. Michael W. Lehnert, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 515 Delaware St Se, 7th Floor, Mmhst, Minneapolis, MN 55455 Phone: 612-624-7133 Fax: 612-624-2669
Luke Mcmahon, DDS Dentist Medicare: Accepting Medicare Assignments Practice Location: 606 24th Ave S, Minneapolis, MN 55454 Phone: 612-659-8689
Dr. Brett Andrew Voegele, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 515 Delaware St Se, 7th Floor, Moos Tower, Minneapolis, MN 55455 Phone: 612-624-8600
Julio Sotillo Rodriguez, D.D.S., PH.D. Dentist Medicare: Medicare Enrolled Practice Location: 701 25th Ave S, Suite 400, Minneapolis, MN 55454 Phone: 612-625-3249

Kimberly Walters, DMD - Medicare Dentist in Minneapolis, MN