Cornelius Todd Walter, MD | |
133 N Howard Ave, Landrum, SC 29356 | |
(864) 560-9507 | |
Not Available |
Full Name | Cornelius Todd Walter |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 31 Years |
Location | 133 N Howard Ave, Landrum, South Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619948379 | NPI | - | NPPES |
174206 | Medicaid | SC | |
F876975121 | Other | SC | MEDICARE PIN |
890665G | Medicaid | NC | |
P00721817 | Other | NC | RR MEDICARE |
2279674C | Other | NC | MEDICARE PIN |
5850260 | Other | SC | AETNA |
080120336 | Other | SC | RAIL ROAD MEDICARE |
66392 | Other | SC | MEDCOST |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 9601513 (North Carolina) | Secondary |
207Q00000X | Family Medicine | 17420 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Encompass Health Home Health | Marion, NC | Home health agency |
Interim Healthcare Of The Upstate | Greenville, SC | Home health agency |
Spartanburg Medical Center | Spartanburg, SC | Hospital |
St Lukes Hospital | Columbus, NC | Hospital |
Pelham Medical Center | Greer, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Spartanburg Medical Center | 3072425297 | 912 |
Entity Name | Spartanburg Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760114664 PECOS PAC ID: 3072425297 Enrollment ID: O20040108000827 |
Mailing Address | Practice Location Address |
---|---|
Cornelius Todd Walter, MD Po Box 743070, Atlanta, GA 30374-3070 Ph: (864) 560-4304 | Cornelius Todd Walter, MD 133 N Howard Ave, Landrum, SC 29356 Ph: (864) 560-9507 |
Jason Lee Watson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 133 N Howard Ave, Landrum, SC 29356 Phone: 864-457-3838 Fax: 864-560-9532 | |
Erin Caudill Nash, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 133 N Howard Ave, Landrum, SC 29356 Phone: 864-457-3838 Fax: 864-560-9532 | |
Kimberly Lynn Bridges, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 133 N Howard Ave, Landrum, SC 29356 Phone: 864-560-9507 | |
Nicolas Seth Dawson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 133 N Howard Ave, Landrum, SC 29356 Phone: 864-457-3838 Fax: 864-560-9532 | |
Wanda J Starling, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1014 S Blackstock Rd, Landrum, SC 29356 Phone: 864-457-2033 Fax: 864-848-8551 |