Mr Timothy P Walton, MSN, RN, CPNP in Saint Louis, MO

Mr Timothy P Walton, MSN, RN, CPNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Saint Louis, Missouri. His current practice location is 5471 Dr Martin Luther King Dr, Saint Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at (314) 367-5820.

Mr Timothy P Walton is licensed to practice in Missouri (license number 133867) 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 1669423976.

Contact Information

	Mr Timothy P Walton, MSN, RN, CPNP
	5471 Dr Martin Luther King Dr, Saint Louis, MO 63112-4265
	(314) 367-5820
	(314) 623-6326

Map and Direction

Provider's Profile

Full Name	Mr Timothy P Walton
Gender	Male
Speciality	Nurse Practitioner - Pediatrics
Location	5471 Dr Martin Luther King Dr, Saint Louis, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669423976
Provider Enumeration Date: 05/12/2006
Last Update Date: 06/30/2023

Medicare PECOS Information:

PECOS PAC ID: 4880903384
Enrollment ID: I20151023001661

Medical Identifiers

Medical identifiers for Mr Timothy P Walton such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669423976	NPI	-	NPPES
1669423976	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0200X	Registered Nurse - Pediatrics	RN133867 (Missouri)	Secondary
363LP0200X	Nurse Practitioner - Pediatrics	133867 (Missouri)	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 Timothy P Walton allows following entities to bill medicare on his behalf.

Entity Name	Ssm Health Care St Louis
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275586174 PECOS PAC ID: 7810800737 Enrollment ID: O20031118000393

Entity Name	Ssm Cardinal Glennon Children's Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174577670 PECOS PAC ID: 7012828163 Enrollment ID: O20031231000604

Entity Name	Mercy Aco Clinical Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063965093 PECOS PAC ID: 6901188572 Enrollment ID: O20170117001888

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 Timothy P Walton 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 Timothy P Walton, MSN, RN, CPNP 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112-4265 Ph: (314) 367-5820	Mr Timothy P Walton, MSN, RN, CPNP 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112-4265 Ph: (314) 367-5820

Reviews and Comments

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Mr Timothy P Walton, MSN, RN, CPNP - Medicare Nurse Practitioner in Saint Louis, MO