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.
Physician's Profile
Full Name | Mrs Susan Raedene Gauntt Walker |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 712 E Anderson St, Weatherford, Texas |
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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 |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1508217811 PECOS PAC ID: 3072895788 Enrollment ID: O20170112001818 |
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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. 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 |
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