Patricia Walworth, DMD is a
Dentist - Prosthodontics based in Ft Sam Houston, Texas. Patricia Walworth is licensed to practice in Michigan (license number 2901021578) and her current practice location is
Brooke Army Medical Center, 3551 Roger Brooke Dr, Ft Sam Houston, Texas. She can be reached at her office (for appointments etc.) via phone at
(210) 216-7208.
NPI number for Patricia Walworth is 1881075737 and her current mailing address is Jbsa Dentac, Bldg 1029, 4070 Stanley, Ft Sam Houston, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1881075737.
Healthcare Provider's Profile
Full Name | Patricia Walworth |
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Gender | Female |
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Speciality | Dentist - Prosthodontics |
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Location | Brooke Army Medical Center, Ft Sam Houston, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1881075737
- Provider Enumeration Date: 06/17/2015
- Last Update Date: 07/31/2024
Medical Identifiers
Medical identifiers for Patricia Walworth such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881075737 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 2901021578 (Michigan) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 2901021578 (Michigan) | Secondary |
1223P0700X | Dentist - Prosthodontics | 2901021578 (Michigan) | 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. Patricia Walworth is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Patricia Walworth, DMD Jbsa Dentac, Bldg 1029, 4070 Stanley, Ft Sam Houston, TX 78234 Ph: () - | Patricia Walworth, DMD Brooke Army Medical Center, 3551 Roger Brooke Dr, Ft Sam Houston, TX 78234 Ph: (210) 216-7208 |
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