Bailey Nicole Walczak, DNP, FNP is a medicare enrolled "Nurse Practitioner - Family" in Cosmopolis, Washington. Her current practice location is
757 Us Highway 101, Cosmopolis, Washington. You can reach out to her office (for appointments etc.) via phone at
(360) 580-1093.
Bailey Nicole Walczak is licensed to practice in Washington (license number AP61381509) 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 1063121572.
Provider's Profile
Full Name | Bailey Nicole Walczak |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 757 Us Highway 101, Cosmopolis, Washington |
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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: 1063121572
- Provider Enumeration Date: 11/23/2022
- Last Update Date: 11/23/2022
Medicare PECOS Information:
- PECOS PAC ID: 6103287982
- Enrollment ID: I20230726001072
Medical Identifiers
Medical identifiers for Bailey Nicole Walczak such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063121572 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | AP61381509 (Washington) | 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. Bailey Nicole Walczak allows following entities to bill medicare on her behalf.
Entity Name | Grays Harbor County Public Hospital District No 1 |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1740211028 PECOS PAC ID: 9032017256 Enrollment ID: O20031226000146 |
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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. Bailey Nicole Walczak 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 |
Bailey Nicole Walczak, DNP, FNP 757 Us Highway 101, Cosmopolis, WA 98537-9701 Ph: (360) 580-1093 | Bailey Nicole Walczak, DNP, FNP 757 Us Highway 101, Cosmopolis, WA 98537-9701 Ph: (360) 580-1093 |
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