Addison Walter, in Lewisville, TX - Medicare Physical Therapist Provider

Addison Walter, is a medicare enrolled "Physical Therapist" provider in Lewisville, Texas. His current practice location is 1288 W Main St Ste 148, Lewisville, Texas. You can reach out to his office (for appointments etc.) via phone at (469) 496-3992.

Addison Walter is licensed to practice in Texas (license number 3128421) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1265170005.

Contact Information

	Addison Walter,
	1288 W Main St Ste 148, Lewisville, TX 75067-3468
	(469) 496-3992
	(972) 845-7419

Map and Direction

Healthcare Provider's Profile

Full Name	Addison Walter
Gender	Male
Speciality	Physical Therapist
Location	1288 W Main St Ste 148, Lewisville, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265170005
Provider Enumeration Date: 05/23/2022
Last Update Date: 09/15/2023

Medicare PECOS Information:

PECOS PAC ID: 6901271626
Enrollment ID: I20230412000466

Medical Identifiers

Medical identifiers for Addison Walter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265170005	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	3128421 (Texas)	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. Addison Walter allows following entities to bill medicare on his behalf.

Provider Name	Ideal Physical Therapy Of Texas Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1538573746 PECOS PAC ID: 0547583809 Enrollment ID: O20141218000890

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. Addison Walter 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
Addison Walter, 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: (866) 370-8206	Addison Walter, 1288 W Main St Ste 148, Lewisville, TX 75067-3468 Ph: (469) 496-3992

Reviews and Comments

Physical Therapist in Lewisville, TX

Cathy Faye Ruelas, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 401 N Valley Pkwy, Ste 300, Lewisville, TX 75067 Phone: 972-353-5437
Mrs. Cindy Dorazio Goetz, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 966 N Garden Ridge, Suite 530, Lewisville, TX 75077 Phone: 972-420-6605 Fax: 972-436-2770
Namrata Prakash Keswani, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1301 Justin Rd Ste 206, Lewisville, TX 75077 Phone: 972-317-7775
Mr. William M Herritage Ii, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 724 W Main, Ste 180, Lewisville, TX 75067 Phone: 972-434-6024 Fax: 972-434-2784
Ajay Agrawal, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 316 Wiltshire Blvd, Lewisville, TX 75056 Phone: 760-532-7808
Lauren Deems, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2500 Sir Wade Way, Lewisville, TX 75056 Phone: 214-213-0899
Mr. Scott Frederick Mcgough, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 724 W Main St Ste 180, Lewisville, TX 75067 Phone: 972-434-6024 Fax: 972-434-2784

Addison Walter, - Medicare Physical Therapist in Lewisville, TX