Dr Alycia Ann Walty, MD is a medicare enrolled "Pediatrics" physician in Mc Kee, Kentucky. Her current practice location is
211 Us Highway 421 S, Mc Kee, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(606) 287-7104.
Dr Alycia Ann Walty is licensed to practice in Kentucky (license number 42455) 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 1275781817.
Physician's Profile
| Full Name | Dr Alycia Ann Walty |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 211 Us Highway 421 S, Mc Kee, Kentucky |
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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: 1275781817
- Provider Enumeration Date: 09/08/2008
- Last Update Date: 07/08/2014
Medicare PECOS Information:
- PECOS PAC ID: 3577600485
- Enrollment ID: I20230331002365
Medical Identifiers
Medical identifiers for Dr Alycia Ann Walty such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275781817 | NPI | - | NPPES |
| 7100087740 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | MD451752 (Pennsylvania) | Secondary |
| 208000000X | Pediatrics | 25MA08433100 (New Jersey) | Secondary |
| 208000000X | Pediatrics | 42455 (Kentucky) | 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. Dr Alycia Ann Walty allows following entities to bill medicare on her behalf.
| Entity Name | Star Community Health Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033686159
PECOS PAC ID: 7618215237
Enrollment ID: O20190206002009 |
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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. Dr Alycia Ann Walty 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 |
|---|
Dr Alycia Ann Walty, MD
1010 Main St S,
Mc Kee, KY 40447-7089
Ph: (606) 287-7104 | Dr Alycia Ann Walty, MD
211 Us Highway 421 S,
Mc Kee, KY 40447-9425
Ph: (606) 287-7104 |
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