Mrs Kongkeo Thiky Walther, ANP in Bridgeton, MO

Mrs Kongkeo Thiky Walther, ANP is a medicare enrolled "Nurse Practitioner - Acute Care" in Bridgeton, Missouri. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Northwest Infectious Disease Services Llc and her current practice location is 12774 Boenker Ln, Bridgeton, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 291-7997.

Mrs Kongkeo Thiky Walther is licensed to practice in Missouri (license number 2015040094) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1528433430.

Contact Information

	Mrs Kongkeo Thiky Walther, ANP
	12774 Boenker Ln, Bridgeton, MO 63044-2436
	(314) 291-7997
	(314) 739-1471

Map and Direction

Provider's Profile

Full Name	Mrs Kongkeo Thiky Walther
Gender	Female
Speciality	Nurse Practitioner
Experience	9 Years
Location	12774 Boenker Ln, Bridgeton, Missouri
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Kongkeo Thiky Walther graduated from nursing school in 2015

NPI Data:

NPI Number: 1528433430
Provider Enumeration Date: 12/03/2015
Last Update Date: 12/21/2023

Medicare PECOS Information:

PECOS PAC ID: 7618275041
Enrollment ID: I20160418001742

Medical Identifiers

Medical identifiers for Mrs Kongkeo Thiky Walther such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528433430	NPI	-	NPPES
420030952	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	2015040094 (Missouri)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Missouri Baptist Medical Center	Town and country, MO	Hospital
Barnes-jewish St Peters Hospital	Saint peters, MO	Hospital
Ssm Depaul Health Center	Bridgeton, MO	Hospital
Christian Hospital Northeast	Saint louis, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northwest Infectious Disease Services Llc	0446216063	9

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 Kongkeo Thiky Walther allows following entities to bill medicare on her behalf.

Entity Name	Washington University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760425474 PECOS PAC ID: 9830008770 Enrollment ID: O20040315000891

Entity Name	Northwest Infectious Disease Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306891551 PECOS PAC ID: 0446216063 Enrollment ID: O20041206000860

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 Kongkeo Thiky Walther 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 Kongkeo Thiky Walther, ANP Po Box 776874, Chicago, IL 60677-6874 Ph: (314) 291-7997	Mrs Kongkeo Thiky Walther, ANP 12774 Boenker Ln, Bridgeton, MO 63044-2436 Ph: (314) 291-7997

Reviews and Comments

Nurse Practitioner Nurses in Bridgeton, MO

Debra E Solom, A.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12277 De Paul Dr Ste 100, Bridgeton, MO 63044 Phone: 314-209-5142
Suneeta V. Parpelli, AGNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12303 De Paul Dr, Bridgeton, MO 63044 Phone: 314-317-0600 Fax: 314-317-0606
Mrs. Megan L Wren, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12255 De Paul Dr Ste 420n, Bridgeton, MO 63044 Phone: 314-298-3893 Fax: 314-851-4408
Saima Baig, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12255 De Paul Dr Ste 490, Bridgeton, MO 63044 Phone: 314-344-7770
Ms. Amy Elizabeth Mcalister, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12255 Depaul Drive, Suite 370, Bridgeton, MO 63044 Phone: 314-209-5222 Fax: 314-092-5224
Susan H Fliesher, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12303 Depaul Drive, Bridgeton, MO 63044 Phone: 314-344-6000
Mrs. Kathleen Konys, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12303 De Paul Dr, Bridgeton, MO 63044 Phone: 800-305-6616

Mrs Kongkeo Thiky Walther, ANP - Medicare Nurse Practitioner in Bridgeton, MO