Mr Marc Randal Walters, RD in El Centro, CA - Medicare Dietitian, Registered Provider

Mr Marc Randal Walters, RD is a medicare enrolled "Dietitian, Registered" provider in El Centro, California. His current practice location is 1415 Ross Ave, El Centro, California. You can reach out to his office (for appointments etc.) via phone at (760) 339-7179.

Mr Marc Randal Walters is licensed to practice in California (license number 960209) 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 1760401863.

Contact Information

	Mr Marc Randal Walters, RD
	1415 Ross Ave, El Centro, CA 92243-4306
	(760) 339-7179
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Marc Randal Walters
Gender	Male
Speciality	Dietitian, Registered
Location	1415 Ross Ave, El Centro, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760401863
Provider Enumeration Date: 07/19/2006
Last Update Date: 04/27/2018

Medicare PECOS Information:

PECOS PAC ID: 7315160157
Enrollment ID: I20140522001746

Medical Identifiers

Medical identifiers for Mr Marc Randal Walters such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760401863	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	960209 (California)	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. Mr Marc Randal Walters allows following entities to bill medicare on his behalf.

Provider Name	El Centro Regional Medical Center
Provider Type	Part B Supplier - Hospital Department(s)
Provider Identifiers	NPI Number: 1861409823 PECOS PAC ID: 6901986397 Enrollment ID: O20090522000227

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. Mr Marc Randal 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
Mr Marc Randal Walters, RD 1415 Ross Ave, El Centro, CA 92243-4306 Ph: (760) 339-7100	Mr Marc Randal Walters, RD 1415 Ross Ave, El Centro, CA 92243-4306 Ph: (760) 339-7179

Reviews and Comments

Dietitian, Registered in El Centro, CA

Mrs. Ana Karen Rodriguez, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1507 W Barbara Worth Dr Apt 42, El Centro, CA 92243 Phone: 760-234-8932
Estefana Castro, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1415 Ross Ave, El Centro, CA 92243 Phone: 760-352-5813 Fax: 760-352-7834
Consuelo Nogales, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2604 Thomas Dr Apt 209, El Centro, CA 92243 Phone: 760-540-2184
Kaitlyn Elise Offhaus, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1415 Ross Ave, El Centro, CA 92243 Phone: 760-339-7154

Mr Marc Randal Walters, RD - Medicare Dietitian in El Centro, CA