Briza V Walter, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Pine Brook, New Jersey. Her current practice location is
65 Windsor Dr, Pine Brook, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(973) 908-3368.
Briza V Walter is licensed to practice in New Jersey (license number 25MA09325400) 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 1942632088.
Physician's Profile
| Full Name | Briza V Walter |
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| Gender | Female |
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| Speciality | Obstetrics & Gynecology |
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| Location | 65 Windsor Dr, Pine Brook, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1942632088
- Provider Enumeration Date: 07/31/2013
- Last Update Date: 08/17/2020
Medicare PECOS Information:
- PECOS PAC ID: 1254641129
- Enrollment ID: I20151104001931
Medical Identifiers
Medical identifiers for Briza V Walter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1942632088 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | 25MA09325400 (New Jersey) | Primary |
| 261Q00000X | Clinic/center | 25MA09325400 (New Jersey) | Secondary |
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. Briza V Walter allows following entities to bill medicare on her behalf.
| Entity Name | Lifeline Medical Associates Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821041617
PECOS PAC ID: 1456332170
Enrollment ID: O20040528000067 |
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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. Briza V Walter 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 |
|---|
Briza V Walter, MD
65 Windsor Dr,
Pine Brook, NJ 07058-9757
Ph: (973) 908-3368 | Briza V Walter, MD
65 Windsor Dr,
Pine Brook, NJ 07058-9757
Ph: (973) 908-3368 |
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