Mrs Stormy B Walker, NP-C is a medicare enrolled "Nurse Practitioner - Pediatrics" physician in West Columbia, South Carolina. Her current practice location is
3240 Sunset Blvd, West Columbia, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(803) 359-8855.
Mrs Stormy B Walker is licensed to practice in South Carolina (license number 21916) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1962994160.
Physician's Profile
| Full Name | Mrs Stormy B Walker |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Pediatrics |
|---|
| Location | 3240 Sunset Blvd, West Columbia, South Carolina |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1962994160
- Provider Enumeration Date: 06/04/2018
- Last Update Date: 04/19/2023
Medicare PECOS Information:
- PECOS PAC ID: 5092064238
- Enrollment ID: I20180821001512
Medical Identifiers
Medical identifiers for Mrs Stormy B Walker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962994160 | NPI | - | NPPES |
| NP5283 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2080P0206X | Pediatrics - Pediatric Gastroenterology | 21916 (South Carolina) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | 21916 (South Carolina) | 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. Mrs Stormy B Walker allows following entities to bill medicare on her behalf.
| Entity Name | Prisma Health Medical Group-midlands |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1275988321
PECOS PAC ID: 5991099707
Enrollment ID: O20160802001226 |
|---|
| Entity Name | Lexington Health Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1710634753
PECOS PAC ID: 2567872070
Enrollment ID: O20201208000922 |
|---|
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. Mrs Stormy B Walker 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 |
|---|
Mrs Stormy B Walker, NP-C
Po Box 6069,
West Columbia, SC 29171-6069
Ph: () - | Mrs Stormy B Walker, NP-C
3240 Sunset Blvd,
West Columbia, SC 29169-3428
Ph: (803) 359-8855 |
Reviews and Comments