Dr Sally Beazlie-walker, DO - Medicare Family Practice in Plymouth, IN

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Dr Sally Beazlie-walker, DO is a medicare enrolled "Family Medicine" physician in Plymouth, Indiana. She graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Tidewater Physicians Multispecialty Group Pc and her current practice location is 209 E Jefferson St, Plymouth, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 948-5100.

Dr Sally Beazlie-walker is licensed to practice in Indiana (license number 02005023A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1437312980.

Contact Information

Dr Sally Beazlie-walker, DO
209 E Jefferson St,
Plymouth, IN 46563-1861
(574) 948-5100
(574) 348-0745

Map and Direction




Physician's Profile

Full NameDr Sally Beazlie-walker
GenderFemale
SpecialityFamily Practice
Experience16 Years
Location209 E Jefferson St, Plymouth, Indiana
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Sally Beazlie-walker graduated from medical school in 2008
  NPI Data:
  • NPI Number: 1437312980
  • Provider Enumeration Date: 07/04/2008
  • Last Update Date: 06/16/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 7315122272
  • Enrollment ID: I20110419001009

Medical Identifiers

Medical identifiers for Dr Sally Beazlie-walker such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437312980NPI-NPPES
187720067OtherINMEDICARE PTAN
P01887772OtherINRR PTAN
000001109741OtherINBCBS
300004357MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 02005023A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sentara Careplex HospitalHampton, VAHospital
Riverside Regional Medical CenterNewport news, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Tidewater Physicians Multispecialty Group Pc2860398526252

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 Sally Beazlie-walker allows following entities to bill medicare on her behalf.
Entity NameTidewater Physicians Multispecialty Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902848294
PECOS PAC ID: 2860398526
Enrollment ID: O20031211000980

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 Sally Beazlie-walker 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 AddressPractice Location Address
Dr Sally Beazlie-walker, DO
707 Cedar St Ste 200,
South Bend, IN 46617-2057

Ph: (574) 335-8707		Dr Sally Beazlie-walker, DO
209 E Jefferson St,
Plymouth, IN 46563-1861

Ph: (574) 948-5100

Reviews and Comments


Family Medicine Doctors in Plymouth, IN

Laura Elizabeth Blackford, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2349 Lake Ave, Suite 100, Plymouth, IN 46563
Phone: 574-948-5100    Fax: 574-948-5499
Viraj S Patel, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1904 Lake Ave, Plymouth, IN 46563
Phone: 574-936-3178    Fax: 574-936-1084
Rebecca M Brice, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1915 Lake Ave, Plymouth, IN 46563
Phone: 574-948-4000    Fax: 574-948-5454
Abdul Sami Qazi, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1915 Lake Ave, Plymouth, IN 46563
Phone: 574-948-4000    Fax: 574-948-5454
Craig B Miller, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2349 Lake Ave Ste 100, Plymouth, IN 46563
Phone: 574-948-5100    Fax: 574-948-5499
Tod Alan Stillson, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 209 E Jefferson St, Plymouth, IN 46563
Phone: 574-948-5100    Fax: 574-335-0745

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.