Mrs Crystal Dawn Waltower, LOTR in Shreveport, LA - Medicare Occupational Therapist Provider

Mrs Crystal Dawn Waltower, LOTR is a medicare enrolled "Occupational Therapist" provider in Shreveport, Louisiana. Her current practice location is 403 E Flournoy Lucas Rd, Shreveport, Louisiana. You can reach out to her office (for appointments etc.) via phone at (318) 798-3500.

Mrs Crystal Dawn Waltower is licensed to practice in Louisiana (license number 200690) 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 1386119717.

Contact Information

	Mrs Crystal Dawn Waltower, LOTR
	403 E Flournoy Lucas Rd, Shreveport, LA 71115-3906
	(318) 798-3500
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Crystal Dawn Waltower
Gender	Female
Speciality	Occupational Therapist
Location	403 E Flournoy Lucas Rd, Shreveport, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386119717
Provider Enumeration Date: 10/12/2018
Last Update Date: 10/12/2018

Medicare PECOS Information:

PECOS PAC ID: 0840637724
Enrollment ID: I20240327002636

Medical Identifiers

Medical identifiers for Mrs Crystal Dawn Waltower such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386119717	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	200690 (Louisiana)	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 Crystal Dawn Waltower allows following entities to bill medicare on her behalf.

Provider Name	Healthpro Heritage Rehab & Fitness Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1154852382 PECOS PAC ID: 6507832573 Enrollment ID: O20231004003036

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 Crystal Dawn Waltower 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 Crystal Dawn Waltower, LOTR 150 Gladney Farm Rd, Homer, LA 71040-5009 Ph: (337) 427-0160	Mrs Crystal Dawn Waltower, LOTR 403 E Flournoy Lucas Rd, Shreveport, LA 71115-3906 Ph: (318) 798-3500

Reviews and Comments

Occupational Therapist in Shreveport, LA

Jennie Moore Bange, LOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Hwy, Shreveport, LA 71103 Phone: 318-813-2972
Lynn Gibbs Jenkins, LOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3100 Samford Ave, Shreveport, LA 71103 Phone: 318-222-5704
Amanda Benson, LOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4509 Clingman Dr, Shreveport, LA 71105 Phone: 318-540-8180
Mrs. Emily E Dennis, LOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1450 Claiborne Ave, Shreveport, LA 71103 Phone: 318-813-2970 Fax: 318-813-2975
Jessica Russell, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 302 Sadie Douglas Cir, Shreveport, LA 71106 Phone: 318-465-3743
Kimberly Johnson, OCCUPATIONAL THERAPY Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8870 Youree Dr Ste 108, Shreveport, LA 71115 Phone: 318-344-8021
Rachel Elizabeth Johns, MOT/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 318-990-5271

Mrs Crystal Dawn Waltower, LOTR - Medicare Occupational Therapist in Shreveport, LA