Mrs Susan Raedene Gauntt Walker, MD in Weatherford, TX

Mrs Susan Raedene Gauntt Walker, MD is a medicare enrolled "Pediatrics" physician in Weatherford, Texas. Her current practice location is 712 E Anderson St, A, Weatherford, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 596-7717.

Mrs Susan Raedene Gauntt Walker is licensed to practice in Texas (license number H5445) 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 1609970896.

Contact Information

	Mrs Susan Raedene Gauntt Walker, MD
	712 E Anderson St, A, Weatherford, TX 76086-5873
	(817) 596-7717
	(817) 596-7119

Map and Direction

Physician's Profile

Full Name	Mrs Susan Raedene Gauntt Walker
Gender	Female
Speciality	Pediatrics
Location	712 E Anderson St, Weatherford, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609970896
Provider Enumeration Date: 09/11/2006
Last Update Date: 02/10/2022

Medicare PECOS Information:

PECOS PAC ID: 8628391968
Enrollment ID: I20141218000106

Medical Identifiers

Medical identifiers for Mrs Susan Raedene Gauntt Walker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609970896	NPI	-	NPPES
10029712	Other	TX	AMERIGROUP

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	H5445 (Texas)	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 Susan Raedene Gauntt Walker allows following entities to bill medicare on her behalf.

Entity Name	Dallas Medical Specialists, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508217811 PECOS PAC ID: 3072895788 Enrollment ID: O20170112001818

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 Susan Raedene Gauntt 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 Susan Raedene Gauntt Walker, MD 712 E Anderson St, A, Weatherford, TX 76086-5873 Ph: (817) 596-7717	Mrs Susan Raedene Gauntt Walker, MD 712 E Anderson St, A, Weatherford, TX 76086-5873 Ph: (817) 596-7717

Reviews and Comments

Pediatrics Doctors in Weatherford, TX

Dr. Michael D. Marsh, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1929 Fort Worth Hwy, Weatherford, TX 76086 Phone: 817-596-3531 Fax: 817-596-8822
Dr. Bart Robbins, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1429 Clear Lake Rd, Suite 100, Weatherford, TX 76086 Phone: 817-596-3500 Fax: 817-596-3524
Alyson Mcconal Zulfer, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 750 Eureka St Ste D, Weatherford, TX 76086 Phone: 817-550-6230 Fax: 833-973-3510

Mrs Susan Raedene Gauntt Walker, MD - Medicare Pediatrics in Weatherford, TX