Clinton Walker, in Jackson, MS - Medicare Nurse Practitioner

Clinton Walker, is a medicare enrolled "Nurse Practitioner - Family" in Jackson, Mississippi. He graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice State Of Mississippi - University Of Mississippi Medical Center and his current practice location is 2500 North State Street, Jackson, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 815-4778.

Clinton Walker is licensed to practice in Mississippi (license number R886071) 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 1124417761.

Contact Information

	Clinton Walker,
	2500 North State Street, Jackson, MS 39216-4500
	(601) 815-4778
	(601) 984-5420

Map and Direction

Provider's Profile

Full Name	Clinton Walker
Gender	Male
Speciality	Nurse Practitioner
Experience	10 Years
Location	2500 North State Street, Jackson, Mississippi
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:

Clinton Walker graduated from nursing school in 2014

NPI Data:

NPI Number: 1124417761
Provider Enumeration Date: 01/20/2015
Last Update Date: 10/13/2016

Medicare PECOS Information:

PECOS PAC ID: 7719203769
Enrollment ID: I20150310000938

Medical Identifiers

Medical identifiers for Clinton Walker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124417761	NPI	-	NPPES
04706763	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R886071 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Of Mississippi Med Center	Jackson, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
State Of Mississippi - University Of Mississippi Medical Center	1850293036	782

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. Clinton Walker allows following entities to bill medicare on his behalf.

Entity Name	State Of Mississippi - University Of Mississippi Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575

Entity Name	St. Dominic Medical Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407920549 PECOS PAC ID: 0446303168 Enrollment ID: O20090728000821

Entity Name	Corner Clinic Urgent Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073971792 PECOS PAC ID: 4082903034 Enrollment ID: O20160516001281

Entity Name	Mcfatter Family Medical, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811660293 PECOS PAC ID: 0648678185 Enrollment ID: O20211013001759

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. Clinton Walker 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
Clinton Walker, 2500 North State Street, Jackson, MS 39216-4500 Ph: (601) 815-4778	Clinton Walker, 2500 North State Street, Jackson, MS 39216-4500 Ph: (601) 815-4778

Reviews and Comments

Nurse Practitioner Nurses in Jackson, MS

Jennifer Nichols Foreman, A-GNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5657
Susan B Patterson, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 Marshall St, Ste 104, Jackson, MS 39202 Phone: 601-969-6404 Fax: 601-973-4541
Caryl P. Sumrall, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6311 Ridgewood Rd, Jackson, MS 39211 Phone: 601-952-8398 Fax: 833-972-5586
Kathryn L. Navarro, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1850 Chadwick Dr, Jackson, MS 39204 Phone: 904-805-1300 Fax: 904-805-1302
Mr. Bradford Steele Martin, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 North State Street, Department Of Orthopedics, Jackson, MS 39216 Phone: 601-815-3045
Emily Brumfield, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 North State Street, Jackson, MS 39216 Phone: 601-984-5500 Fax: 601-984-5503
Mrs. Tiffany Griffin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3450 Highway 80 West, Jackson, MS 39209 Phone: 601-321-2400

Clinton Walker, - Medicare Nurse Practitioner in Jackson, MS