Dr Walter Henry Halloran, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Elkhart, Indiana. He went to University Of Minnesota Medical School and graduated in 1984 and has 40 years of diverse experience with area of expertise as Thoracic Surgery. He is a member of the group practice Beacon Medical Group Inc and his current practice location is
500 Arcade Ave Ste 230, Elkhart, Indiana. You can reach out to his office (for appointments etc.) via phone at
(574) 522-6565.
Dr Walter Henry Halloran is licensed to practice in Indiana (license number 01039629) 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 1053486191.
Physician's Profile
Full Name | Dr Walter Henry Halloran |
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Gender | Male |
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Speciality | Thoracic Surgery |
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Experience | 40 Years |
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Location | 500 Arcade Ave Ste 230, Elkhart, Indiana |
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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 Henry Halloran attended and graduated from University Of Minnesota Medical School in 1984
NPI Data:
- NPI Number: 1053486191
- Provider Enumeration Date: 11/22/2006
- Last Update Date: 03/30/2021
Medicare PECOS Information:
- PECOS PAC ID: 4789709924
- Enrollment ID: I20100913000181
Medical Identifiers
Medical identifiers for Dr Walter Henry Halloran such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053486191 | NPI | - | NPPES |
100103250 | Medicaid | IN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 01039629 (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Beacon Medical Group Inc | 1254243306 | 444 |
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 Henry Halloran allows following entities to bill medicare on his behalf.
Entity Name | Beacon Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1033161617 PECOS PAC ID: 1254243306 Enrollment ID: O20031105000657 |
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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 Walter Henry Halloran 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 Henry Halloran, MD 710 N Niles Ave, South Bend, IN 46617-1924 Ph: (574) 647-1610 | Dr Walter Henry Halloran, MD 500 Arcade Ave Ste 230, Elkhart, IN 46514-2485 Ph: (574) 522-6565 |
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