Dr David Panther, MD is a medicare enrolled "Dermatology" physician in Walla Walla, Washington. He went to Loma Linda University School Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Privia Medical Group Washington Pllc and his current practice location is
55 W Tietan St, Walla Walla, Washington. You can reach out to his office (for appointments etc.) via phone at
(509) 525-3720.
Dr David Panther is licensed to practice in Washington (license number MD60726633) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1306106547.
Physician's Profile
| Full Name | Dr David Panther |
|---|
| Gender | Male |
|---|
| Speciality | Dermatology |
|---|
| Experience | 12 Years |
|---|
| Location | 55 W Tietan St, Walla Walla, Washington |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Dr David Panther attended and graduated from Loma Linda University School Of Medicine in 2012
NPI Data:
- NPI Number: 1306106547
- Provider Enumeration Date: 05/22/2012
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 6204132046
- Enrollment ID: I20170626002730
Medical Identifiers
Medical identifiers for Dr David Panther such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306106547 | NPI | - | NPPES |
| 2078121 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | A130849 (California) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | MD457554 (Pennsylvania) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | MD60726633 (Washington) | Secondary |
| 207N00000X | Dermatology | MD60726633 (Washington) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Privia Medical Group Washington Pllc | 2264320837 | 49 |
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 David Panther allows following entities to bill medicare on his behalf.
| Entity Name | Privia Medical Group Washington Pllc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1780658419
PECOS PAC ID: 2264320837
Enrollment ID: O20040309000126 |
|---|
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 David Panther 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 David Panther, MD
55 West Tietan,
Walla Walla, WA 99362
Ph: (509) 525-3720 | Dr David Panther, MD
55 W Tietan St,
Walla Walla, WA 99362-4445
Ph: (509) 525-3720 |
Reviews and Comments