Dr Walter Max Adam, MD in Fort Defiance, AZ

Dr Walter Max Adam, MD is a medicare enrolled "Family Medicine" physician in Fort Defiance, Arizona. His current practice location is Corner Of Route N12 And N7, Fort Defiance, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 729-8000.

Dr Walter Max Adam is licensed to practice in Utah (license number 352304-1205) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1053368860.

Contact Information

	Dr Walter Max Adam, MD
	Corner Of Route N12 And N7, Fort Defiance, AZ 86504
	(928) 729-8000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Walter Max Adam
Gender	Male
Speciality	Family Medicine
Location	Corner Of Route N12 And N7, Fort Defiance, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053368860
Provider Enumeration Date: 05/27/2006
Last Update Date: 11/26/2019

Medicare PECOS Information:

PECOS PAC ID: 5496925539
Enrollment ID: I20151007003048

Medical Identifiers

Medical identifiers for Dr Walter Max Adam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053368860	NPI	-	NPPES
1053368860	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	2011024400 (Missouri)	Secondary
207Q00000X	Family Medicine	352304-1205 (Utah)	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 Walter Max Adam allows following entities to bill medicare on his behalf.

Entity Name	State Of Utah
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811978620 PECOS PAC ID: 6800797333 Enrollment ID: O20040117000195

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 Max Adam 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 Max Adam, MD 11572 S Lake Run Rd, South Jordan, UT 84009-8784 Ph: () -	Dr Walter Max Adam, MD Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Ph: (928) 729-8000

Reviews and Comments

Family Medicine Doctors in Fort Defiance, AZ

Rodney Wilson Cuny, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000
Oswaldo Pereira, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000
Naomi Jean Young, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 Fax: 928-729-8169
John William Whitaker, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000
Dr. Marek Marcinkiewicz, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: Corner Of Route N7 & N12, Tsehootsooi Med Ctr, Fort Defiance, AZ 86504 Phone: 928-729-8130 Fax: 928-729-8669
Benjamin Dodge, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: Fort Defiance Indian Hospital Board Inc., Corner Of Routes N12 & N7, Fort Defiance, AZ 86504 Phone: 928-729-8097

Dr Walter Max Adam, MD - Medicare Family Medicine in Fort Defiance, AZ