Dr Walter C Buboltz Jr, PHD in Ruston, LA - Medicare Psychologist Provider

Dr Walter C Buboltz Jr, PHD is a medicare enrolled "Psychologist - Counseling" provider in Ruston, Louisiana. His current practice location is 2101 Walnut Ave, Ruston, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 512-9637.

Dr Walter C Buboltz Jr is licensed to practice in Louisiana (license number 870) 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 1235570573.

Contact Information

	Dr Walter C Buboltz Jr, PHD
	2101 Walnut Ave, Ruston, LA 71270-5145
	(318) 512-9637
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Walter C Buboltz Jr
Gender	Male
Speciality	Psychologist - Counseling
Location	2101 Walnut Ave, Ruston, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235570573
Provider Enumeration Date: 07/15/2013
Last Update Date: 07/15/2013

Medicare PECOS Information:

PECOS PAC ID: 4082065396
Enrollment ID: I20240111002018

Medical Identifiers

Medical identifiers for Dr Walter C Buboltz Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235570573	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC1900X	Psychologist - Counseling	870 (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. Dr Walter C Buboltz Jr allows following entities to bill medicare on his behalf.

Entity Name	Thinktrek Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215415229 PECOS PAC ID: 1951754951 Enrollment ID: O20240125003776

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 Walter C Buboltz Jr 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
Dr Walter C Buboltz Jr, PHD 2101 Walnut Ave, Ruston, LA 71270-5145 Ph: (318) 512-9637	Dr Walter C Buboltz Jr, PHD 2101 Walnut Ave, Ruston, LA 71270-5145 Ph: (318) 512-9637

Reviews and Comments

Psychologist in Ruston, LA

Dr. Aimee Blackham, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 617 S Trenton St, Ruston, LA 71270 Phone: 318-251-4659 Fax: 318-251-4659
Mrs. Antoinette Kelly-clark, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 171 Water Tank Rd, Ruston, LA 71270 Phone: 318-548-7242
Dr. David Lanson Wheeler, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1401 Ezell Street, Ruston, LA 71270 Phone: 318-251-3126
Eric Deemer, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2419 Redwood St, Ruston, LA 71270 Phone: 318-257-3659

Dr Walter C Buboltz Jr, PHD - Medicare Psychologist in Ruston, LA