Walter J Boyanton Iii, MD is a medicare enrolled "Family Medicine" physician in Estill Springs, Tennessee. His current practice location is
300 South Main St, Estill Springs, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(931) 649-5139.
Walter J Boyanton Iii is licensed to practice in Tennessee (license number MD0000017539) 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 1831135706.
Physician's Profile
| Full Name | Walter J Boyanton Iii |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 300 South Main St, Estill Springs, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1831135706
- Provider Enumeration Date: 06/21/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 3870500119
- Enrollment ID: I20150729009219
Medical Identifiers
Medical identifiers for Walter J Boyanton Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831135706 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | MD0000017539 (Tennessee) | 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. Walter J Boyanton Iii allows following entities to bill medicare on his behalf.
| Entity Name | Amg-southern Tennessee Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164789467
PECOS PAC ID: 5991765943
Enrollment ID: O20041013001206 |
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| Entity Name | Dx Mso Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225381148
PECOS PAC ID: 7719131101
Enrollment ID: O20130213000017 |
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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. Walter J Boyanton Iii 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 |
|---|
Walter J Boyanton Iii, MD
300 South Main Street,
Estill Springs, TN 37330-0700
Ph: (931) 649-5139 | Walter J Boyanton Iii, MD
300 South Main St,
Estill Springs, TN 37330-0700
Ph: (931) 649-5139 |
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