Mrs Mary Jane Walters, CRNA in Charlotte, NC - Medicare Nurse Anesthetist, Certified Registered

Mrs Mary Jane Walters, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Charlotte, North Carolina. Her current practice location is 1000 Blythe Blvd, Carolina Medical Center, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 355-8983.

Mrs Mary Jane Walters is licensed to practice in North Carolina (license number 057091) 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 1801837919.

Contact Information

	Mrs Mary Jane Walters, CRNA
	1000 Blythe Blvd, Carolina Medical Center, Charlotte, NC 28203-5812
	(704) 355-8983
	(704) 355-8994

Map and Direction

Provider's Profile

Full Name	Mrs Mary Jane Walters
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	1000 Blythe Blvd, Charlotte, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801837919
Provider Enumeration Date: 06/09/2006
Last Update Date: 02/07/2008

Medicare PECOS Information:

PECOS PAC ID: 6507813581
Enrollment ID: I20050401000224

Medical Identifiers

Medical identifiers for Mrs Mary Jane Walters such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801837919	NPI	-	NPPES
8050782	Medicaid	NC
NAN789	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	057091 (North Carolina)	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. Mrs Mary Jane Walters allows following entities to bill medicare on her behalf.

Entity Name	Lake Norman Anesthesia Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386753457 PECOS PAC ID: 1951396126 Enrollment ID: O20040416001309

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 Mary Jane Walters 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 Mary Jane Walters, CRNA Po Box 32861, Anesthesia Services, 5th Floor Surgery Tower, Charlotte, NC 28232-2861 Ph: (704) 355-8982	Mrs Mary Jane Walters, CRNA 1000 Blythe Blvd, Carolina Medical Center, Charlotte, NC 28203-5812 Ph: (704) 355-8983

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Charlotte, NC

Welo Sylvie Olenga, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 200 Hawthorne Ln, Charlotte, NC 28204 Phone: 704-384-4239 Fax: 704-384-5636
Mr. Kevin E. West, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-8983 Fax: 704-355-8994
Mrs. Colleen M. Ebner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-8983 Fax: 704-355-8994
Mrs. Christine E. Jones, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-8983 Fax: 704-355-8994
Meredith L Draper, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2000
Alison Anne Woodruff, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2000
Raven Danielle Lyles, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Hawthorne Ln, Charlotte, NC 28204 Phone: 704-384-4274

Mrs Mary Jane Walters, CRNA - Medicare Nurse Anesthetist, Certified Registered in Charlotte, NC