Mr Randall Wayne Walters, MD in Harts, WV

Mr Randall Wayne Walters, MD is a medicare enrolled "Family Medicine" physician in Harts, West Virginia. He went to East Tennessee State University Quillen College Of Medicine and graduated in 1992 and has 33 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Southern Medical Partners, Llc and his current practice location is 22 Fleming Dr, Harts, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 855-4595.

Mr Randall Wayne Walters is licensed to practice in West Virginia (license number 22354) 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 1427014794.

Contact Information

	Mr Randall Wayne Walters, MD
	22 Fleming Dr, Harts, WV 25524-9788
	(304) 855-4595
	(304) 855-9377

Map and Direction

Physician's Profile

Full Name	Mr Randall Wayne Walters
Gender	Male
Speciality	Family Practice
Experience	33 Years
Location	22 Fleming Dr, Harts, West Virginia
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:

Mr Randall Wayne Walters attended and graduated from East Tennessee State University Quillen College Of Medicine in 1992

NPI Data:

NPI Number: 1427014794
Provider Enumeration Date: 04/25/2006
Last Update Date: 05/29/2015

Medicare PECOS Information:

PECOS PAC ID: 9133027253
Enrollment ID: I20090805000087

Medical Identifiers

Medical identifiers for Mr Randall Wayne Walters such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427014794	NPI	-	NPPES
P01128276	Other	WV	MEDICARE RR PTAN
3810005193	Medicaid	WV

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	22354 (West Virginia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Knox County Hospital	Barbourville, KY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern Medical Partners, Llc	8123923679	29

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. Mr Randall Wayne Walters allows following entities to bill medicare on his behalf.

Entity Name	Southern Medical Partners, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538109962 PECOS PAC ID: 8123923679 Enrollment ID: O20031206000036

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. Mr Randall Wayne 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
Mr Randall Wayne Walters, MD Po Box 1680, Huntington, WV 25717-1680 Ph: (304) 697-1396	Mr Randall Wayne Walters, MD 22 Fleming Dr, Harts, WV 25524-9788 Ph: (304) 855-4595

Mr Randall Wayne Walters, MD - Medicare Family Practice in Harts, WV