Dr Ken Carlson Walls, PHD, MPAS, DO - Medicare Internal Medicine in Riverside, CA

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Dr Ken Carlson Walls, PHD, MPAS, DO is a medicare enrolled "Internal Medicine" in Riverside, California. His current practice location is 10800 Magnolia Ave, Riverside, California. You can reach out to his office (for appointments etc.) via phone at (951) 353-2000.

Dr Ken Carlson Walls is licensed to practice in California (license number PTL1723) 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 1992162242.

Contact Information

Dr Ken Carlson Walls, PHD, MPAS, DO
10800 Magnolia Ave,
Riverside, CA 92505-3043
(951) 353-2000
Not Available

Map and Direction




Provider's Profile

Full NameDr Ken Carlson Walls
GenderMale
SpecialityInternal Medicine
Location10800 Magnolia Ave, Riverside, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1992162242
  • Provider Enumeration Date: 01/18/2016
  • Last Update Date: 09/26/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9032490149
  • Enrollment ID: I20230316002859

Medical Identifiers

Medical identifiers for Dr Ken Carlson Walls such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992162242NPI-NPPES
1992162242MedicaidTX
1992162242MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (Not Available))Secondary
207R00000XInternal Medicine PTL1723 (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. Dr Ken Carlson Walls allows following entities to bill medicare on his behalf.
Entity NameSouthern California Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316979834
PECOS PAC ID: 6002729175
Enrollment ID: O20040126000823
Entity NameCounty Of Riverside
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023122967
PECOS PAC ID: 6507754488
Enrollment ID: O20040310001107

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. Dr Ken Carlson Walls 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 AddressPractice Location Address
Dr Ken Carlson Walls, PHD, MPAS, DO
12143 Dewar Dr,
Riverside, CA 92505-4106

Ph: (314) 488-5943		Dr Ken Carlson Walls, PHD, MPAS, DO
10800 Magnolia Ave,
Riverside, CA 92505-3043

Ph: (951) 353-2000

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.