Mr Roscoe Carl Walls Jr, FNP-BC in Baxley, GA

Mr Roscoe Carl Walls Jr, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Baxley, Georgia. His current practice location is 118 Azalea Rd, St 1, Baxley, Georgia. You can reach out to his office (for appointments etc.) via phone at (912) 309-2233.

Mr Roscoe Carl Walls Jr is licensed to practice in Georgia (license number RN253514) 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 1376231597.

Contact Information

	Mr Roscoe Carl Walls Jr, FNP-BC
	118 Azalea Rd, St 1, Baxley, GA 31513-7598
	(912) 309-2233
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Roscoe Carl Walls Jr
Gender	Male
Speciality	Nurse Practitioner - Family
Location	118 Azalea Rd, Baxley, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376231597
Provider Enumeration Date: 04/26/2023
Last Update Date: 09/08/2024

Medicare PECOS Information:

PECOS PAC ID: 7214394576
Enrollment ID: I20230601002298

Medical Identifiers

Medical identifiers for Mr Roscoe Carl Walls Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376231597	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN253514 (Georgia)	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. Mr Roscoe Carl Walls Jr allows following entities to bill medicare on his behalf.

Entity Name	Rural Urgent Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932586476 PECOS PAC ID: 8820305600 Enrollment ID: O20201029003001

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. Mr Roscoe Carl Walls Jr 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
Mr Roscoe Carl Walls Jr, FNP-BC 625 Deerfield Dr, Baxley, GA 31513-7598 Ph: (912) 309-2233	Mr Roscoe Carl Walls Jr, FNP-BC 118 Azalea Rd, St 1, Baxley, GA 31513-7598 Ph: (912) 309-2233

Reviews and Comments

Nurse Practitioner Nurses in Baxley, GA

Janey B Britt, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 950 S Main St, Suite 1, Baxley, GA 31513 Phone: 912-705-6866 Fax: 912-705-6681
Jennifer Ashley Skinner, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 821 S Main St Ste C, Baxley, GA 31513 Phone: 912-644-5300
Myiesha Sellers Mcfarlin, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55 Sellers Ln, Baxley, GA 31513 Phone: 912-278-6687
Selina E Revels, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 275 N Main St, Baxley, GA 31513 Phone: 912-785-7022 Fax: 912-705-8010
Paige Tomberlin, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 73 Sw Park Ave Ste C, Baxley, GA 31513 Phone: 912-310-2395
Mrs. Shayla Moore Sellers, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 950 S Main St Ste 2, Baxley, GA 31513 Phone: 912-367-2596
Jessica Marie Alferink, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 73 Sw Park St, Suite B, Baxley, GA 31513 Phone: 912-705-8050 Fax: 912-705-8051

Mr Roscoe Carl Walls Jr, FNP-BC - Medicare Nurse Practitioner in Baxley, GA