Samuel J Walters, MD in San Rafael, CA - Medicare Preventive Medicine

Samuel J Walters, MD is a medicare enrolled "Preventive Medicine - Occupational Medicine" physician in San Rafael, California. His current practice location is 99 Montecillo Rd, San Rafael, California. You can reach out to his office (for appointments etc.) via phone at (415) 444-2000.

Samuel J Walters is licensed to practice in California (license number G68055) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1790869782.

Contact Information

	Samuel J Walters, MD
	99 Montecillo Rd, San Rafael, CA 94903-3308
	(415) 444-2000
	Not Available

Map and Direction

Physician's Profile

Full Name	Samuel J Walters
Gender	Male
Speciality	Preventive Medicine - Occupational Medicine
Location	99 Montecillo Rd, San Rafael, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790869782
Provider Enumeration Date: 10/25/2006
Last Update Date: 12/13/2021

Medicare PECOS Information:

PECOS PAC ID: 9739365974
Enrollment ID: I20110523000857

Medical Identifiers

Medical identifiers for Samuel J Walters such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790869782	NPI	-	NPPES
00G680550	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2083X0100X	Preventive Medicine - Occupational Medicine	G68055 (California)	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. Samuel J Walters allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Samuel J 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
Samuel J Walters, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262	Samuel J Walters, MD 99 Montecillo Rd, San Rafael, CA 94903-3308 Ph: (415) 444-2000

Reviews and Comments

Preventive Medicine Doctors in San Rafael, CA

Wendy E. Shearn, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2000
Dr. Richard L. Shames, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 25 Mitchell Blvd, #8, San Rafael, CA 94903 Phone: 415-472-2343
Dr. Jeffry L. Anderson, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 105 Marin St, San Rafael, CA 94901 Phone: 415-258-1775 Fax: 415-258-1765

Samuel J Walters, MD - Medicare Preventive Medicine in San Rafael, CA