Dr William J Walters, MD is a medicare enrolled "Surgery" physician in La Follette, Tennessee. His current practice location is
923 E Central Ave, La Follette, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(423) 907-1200.
Dr William J Walters is licensed to practice in Tennessee (license number 11726) 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 1740258656.
Physician's Profile
| Full Name | Dr William J Walters |
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| Gender | Male |
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| Speciality | Surgery |
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| Location | 923 E Central Ave, La Follette, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1740258656
- Provider Enumeration Date: 03/08/2006
- Last Update Date: 07/10/2015
Medicare PECOS Information:
- PECOS PAC ID: 7012953599
- Enrollment ID: I20150729008764
Medical Identifiers
Medical identifiers for Dr William J Walters such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740258656 | NPI | - | NPPES |
| 3184458 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 11726 (Tennessee) | Primary |
| 208D00000X | General Practice | 11726 (Tennessee) | Secondary |
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 William J Walters allows following entities to bill medicare on his behalf.
| Entity Name | Healogics Specialty Physicians Of Tennessee, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932527090
PECOS PAC ID: 2961720313
Enrollment ID: O20150414002280 |
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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 William J Walters 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 William J Walters, MD
5220 Belfort Rd Ste 130,
Jacksonville, FL 32256-6017
Ph: (904) 446-3451 | Dr William J Walters, MD
923 E Central Ave,
La Follette, TN 37766-2768
Ph: (423) 907-1200 |
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