Robert William Walters, MD is a medicare enrolled "Dermatology" physician in Laurel, Mississippi. He graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Hattiesburg Clinic, Pa and his current practice location is
136 S 15th Ave, Laurel, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(601) 428-8428.
Robert William Walters is licensed to practice in Mississippi (license number 31916) 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 1548482482.
Physician's Profile
Full Name | Robert William Walters |
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Gender | Male |
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Speciality | Dermatology |
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Experience | 21 Years |
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Location | 136 S 15th Ave, Laurel, Mississippi |
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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:
- Robert William Walters graduated from medical school in 2003
NPI Data:
- NPI Number: 1548482482
- Provider Enumeration Date: 05/02/2007
- Last Update Date: 11/29/2023
Medicare PECOS Information:
- PECOS PAC ID: 2466553987
- Enrollment ID: I20230926002676
Medical Identifiers
Medical identifiers for Robert William Walters such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548482482 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | MD2009-0594 (New Mexico) | Secondary |
207N00000X | Dermatology | M-15814 (Idaho) | Secondary |
207N00000X | Dermatology | 31916 (Mississippi) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Hattiesburg Clinic, Pa | 5193706794 | 488 |
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. Robert William Walters allows following entities to bill medicare on his behalf.
Entity Name | Hattiesburg Clinic Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1740213446 PECOS PAC ID: 5193706794 Enrollment ID: O20040528000685 |
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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. Robert William 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 |
Robert William Walters, MD 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 428-8428 | Robert William Walters, MD 136 S 15th Ave, Laurel, MS 39440-4124 Ph: (601) 428-8428 |
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