Dr Walter E Bantom Iii, MD in Philadelphia, PA

Dr Walter E Bantom Iii, MD is a medicare enrolled "Internal Medicine" physician in Philadelphia, Pennsylvania. He went to Temple University School Of Medicine and graduated in 1981 and has 43 years of diverse experience with area of expertise as Internal Medicine. His current practice location is 5615 W Girard Ave, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 477-5800.

Dr Walter E Bantom Iii is licensed to practice in Pennsylvania (license number MD04394E) 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 1194741710.

Contact Information

	Dr Walter E Bantom Iii, MD
	5615 W Girard Ave, Philadelphia, PA 19131-4128
	(215) 477-5800
	(215) 879-8447

Map and Direction

Physician's Profile

Full Name	Dr Walter E Bantom Iii
Gender	Male
Speciality	Internal Medicine
Experience	43 Years
Location	5615 W Girard Ave, Philadelphia, Pennsylvania
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 Walter E Bantom Iii attended and graduated from Temple University School Of Medicine in 1981

NPI Data:

NPI Number: 1194741710
Provider Enumeration Date: 07/15/2006
Last Update Date: 04/10/2013

Medicare PECOS Information:

PECOS PAC ID: 3779771407
Enrollment ID: I20101222000689

Medical Identifiers

Medical identifiers for Dr Walter E Bantom Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194741710	NPI	-	NPPES
218045	Other	PA	MEDICARE ID - TYPE UNSPECIFIED
1172977	Medicaid	PA
0110990001	Other	PA	INDEPENDENCE BLUE CROSS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	MD04394E (Pennsylvania)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mercy Catholic Medical Center- Mercy Fitzgerald	Darby, PA	Hospital

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 Walter E Bantom Iii allows following entities to bill medicare on his behalf.

Entity Name	West Phila Community Mental Health Consortium, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194757989 PECOS PAC ID: 9638072580 Enrollment ID: O20040129000191

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 Walter E Bantom Iii 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 Walter E Bantom Iii, MD 5615 W Girard Ave, Philadelphia, PA 19131-4128 Ph: (215) 477-5800	Dr Walter E Bantom Iii, MD 5615 W Girard Ave, Philadelphia, PA 19131-4128 Ph: (215) 477-5800

Reviews and Comments

Internal Medicine Doctors in Philadelphia, PA

Philippe Olivier Szapary, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 3400 Civic Center Blvd, East Pavilion, 2nd Floor, Philadelphia, PA 19104 Phone: 215-615-4949
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Cherag Daruwala, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2301 E Allegheny Ave, Suite 190b, Philadelphia, PA 19134 Phone: 215-926-3120 Fax: 215-926-3123
Dr. Robert Burke, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 51 N 39th St, Philadelphia, PA 19104 Phone: 215-662-9436 Fax: 215-243-3208
Eva Hassan Alsheik, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 219 N Broad St, 5th Floor, Philadelphia, PA 19107 Phone: 215-762-6071
Dr. Jason Thomas Ackrivo, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-614-0871

Dr Walter E Bantom Iii, MD - Medicare Internal Medicine in Philadelphia, PA