Dr Clarence William Walker, PHD is a medicare enrolled "Psychologist" provider in New London, Minnesota. He graduated from medical school in 1970 and has 54 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Interventional Pain And Physical Medicine Clinic and his current practice location is
17 Ash Street, N.e, Post Office Box 92, New London, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(320) 354-4489.
Dr Clarence William Walker is licensed to practice in Minnesota (license number LP0123) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1053481069.
Healthcare Provider's Profile
| Full Name | Dr Clarence William Walker |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 54 Years |
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| Location | 17 Ash Street, N.e, New London, Minnesota |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Clarence William Walker graduated from medical school in 1970
NPI Data:
- NPI Number: 1053481069
- Provider Enumeration Date: 11/08/2006
- Last Update Date: 12/30/2016
Medicare PECOS Information:
- PECOS PAC ID: 0840473674
- Enrollment ID: I20110331000552
Medical Identifiers
Medical identifiers for Dr Clarence William Walker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053481069 | NPI | - | NPPES |
| 843748300 | Medicaid | MN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103T00000X | Psychologist | C1083 (Minnesota) | Secondary |
| 103T00000X | Psychologist | LP0321 (Minnesota) | Secondary |
| 104100000X | Social Worker | LICSW06609 (Minnesota) | Secondary |
| 103T00000X | Psychologist | LP0123 (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Interventional Pain And Physical Medicine Clinic | 3375439953 | 4 |
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. Dr Clarence William Walker allows following entities to bill medicare on his behalf.
| Entity Name | Interventional Pain & Physical Medicine Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013056969
PECOS PAC ID: 3375439953
Enrollment ID: O20040223000665 |
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| Entity Name | Knutson Counseling & Seminars, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568784668
PECOS PAC ID: 6800925157
Enrollment ID: O20100525000096 |
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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. Dr Clarence William Walker 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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Dr Clarence William Walker, PHD
128 Pine St., Nw, C. William Walker, Ph.d.,
New London, MN 56273
Ph: (320) 354-4489 | Dr Clarence William Walker, PHD
17 Ash Street, N.e, Post Office Box 92,
New London, MN 56273
Ph: (320) 354-4489 |
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