Shelly D Walters, MD in Ada, OK - Medicare Family Practice

Shelly D Walters, MD is a medicare enrolled "Family Medicine" physician in Ada, Oklahoma. She graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Chickasaw Nation Division Of Health Chickasaw Nation Medical Center and her current practice location is 1921 Stonecipher Dr, Ada, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (580) 436-3980.

Shelly D Walters is licensed to practice in Oklahoma (license number 38491) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1386078418.

Contact Information

	Shelly D Walters, MD
	1921 Stonecipher Dr, Ada, OK 74820-3439
	(580) 436-3980
	Not Available

Map and Direction

Physician's Profile

Full Name	Shelly D Walters
Gender	Female
Speciality	Family Practice
Experience	11 Years
Location	1921 Stonecipher Dr, Ada, Oklahoma
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Shelly D Walters graduated from medical school in 2013

NPI Data:

NPI Number: 1386078418
Provider Enumeration Date: 08/26/2013
Last Update Date: 07/23/2021

Medicare PECOS Information:

PECOS PAC ID: 5597984583
Enrollment ID: I20210816001191

Medical Identifiers

Medical identifiers for Shelly D Walters such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386078418	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	ML60390210 (Washington)	Secondary
207Q00000X	Family Medicine	M-15041 (Idaho)	Secondary
207Q00000X	Family Medicine	38491 (Oklahoma)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Chickasaw Nation Medical Center	Ada, OK	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Chickasaw Nation Division Of Health Chickasaw Nation Medical Center	8426957523	219

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. Shelly D Walters allows following entities to bill medicare on her behalf.

Entity Name	Chickasaw Nation Division Of Health Chickasaw Nation Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255364923 PECOS PAC ID: 8426957523 Enrollment ID: O20040108000364

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. Shelly D 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
Shelly D Walters, MD 301 Cedar St, Orofino, ID 83544-9029 Ph: (208) 476-4555	Shelly D Walters, MD 1921 Stonecipher Dr, Ada, OK 74820-3439 Ph: (580) 436-3980

Reviews and Comments

Family Medicine Doctors in Ada, OK

David Frow, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1921 Stonecipher Dr, Ada, OK 74820 Phone: 580-436-3980 Fax: 580-421-6283
Rikki J Scoggin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1921 Stonecipher Dr, Ada, OK 74820 Phone: 580-436-3980 Fax: 580-421-6283
Dr. Joshua Priddle, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 905 Colony Dr, Ada, OK 74820 Phone: 580-436-5111 Fax: 580-436-1159
Dr. Joanne Chinnici, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2513 Timber Ter, Ada, OK 74820 Phone: 580-399-7716
Marc J Davis, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 530 N Monte Vista St, Suite A, Ada, OK 74820 Phone: 580-310-9510 Fax: 580-436-4447
Curtis E Harris, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 905 Colony Dr, Ada, OK 74820 Phone: 580-436-5111 Fax: 580-436-1159
Patrick Mason, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1921 Stonecipher Boulevard, Ada, OK 74820 Phone: 580-421-4570 Fax: 580-421-6286

Shelly D Walters, MD - Medicare Family Practice in Ada, OK