Walmart Health is a medicare enrolled "Optometrist" provider in Chicaco, Illinois. Their current practice location is
1715 N. Kilpatrick Ave., Chicaco, Illinois. You can reach out to their office (for appointments etc.) via phone at
(773) 687-6043.
Walmart Health is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Walmart Health
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1508465519.
Healthcare Provider's Profile
| Full Name | Walmart Health |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 1715 N. Kilpatrick Ave., Chicaco, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1508465519
- Provider Enumeration Date: 10/21/2020
- Last Update Date: 01/29/2021
Medicare PECOS Information:
- PECOS PAC ID: 8921410556
- Enrollment ID: O20201223001134
Medical Identifiers
Medical identifiers for Walmart Health such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508465519 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Walmart Health acts as a billing entity for following providers:
| Provider Name | Brian W Parrett |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1922248996
PECOS PAC ID: 5991856122
Enrollment ID: I20090630000342 |
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| Provider Name | Sontikileo K Brown |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1841434438
PECOS PAC ID: 9234271750
Enrollment ID: I20100121000752 |
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| Provider Name | Christopher T Pereira |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1497313852
PECOS PAC ID: 4789918780
Enrollment ID: I20190625003127 |
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| Provider Name | Lananh Trinh Ngo |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1629508429
PECOS PAC ID: 0547678310
Enrollment ID: I20210415000444 |
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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. Walmart Health 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 |
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Walmart Health
702 Sw 8th St # Ms 0445,
Bentonville, AR 72716-0445
Ph: (479) 277-2500 | Walmart Health
1715 N. Kilpatrick Ave.,
Chicaco, IL 60639
Ph: (773) 687-6043 |
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