Mrs Kelsey Taylor Walls, PA-C is a medicare enrolled "Physician Assistant" in New York Mills, New York. Her current practice location is
89 Burrstone Rd, New York Mills, New York. You can reach out to her office (for appointments etc.) via phone at
(951) 205-8570.
Mrs Kelsey Taylor Walls is licensed to practice in Colorado (license number PA.0006142) 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 1174150387.
Provider's Profile
Full Name | Mrs Kelsey Taylor Walls |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 89 Burrstone Rd, New York Mills, New York |
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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: 1174150387
- Provider Enumeration Date: 03/26/2020
- Last Update Date: 03/26/2020
Medicare PECOS Information:
- PECOS PAC ID: 6507283041
- Enrollment ID: I20200831000224
Medical Identifiers
Medical identifiers for Mrs Kelsey Taylor Walls such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174150387 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | PA.0006142 (Colorado) | Primary |
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. Mrs Kelsey Taylor 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 Address | Practice Location Address |
Mrs Kelsey Taylor Walls, PA-C 89 Burrstone Rd, New York Mills, NY 13417-1509 Ph: (951) 205-8570 | Mrs Kelsey Taylor Walls, PA-C 89 Burrstone Rd, New York Mills, NY 13417-1509 Ph: (951) 205-8570 |
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