Ivorie Louise Walker, PSYD is a medicare enrolled "Clinical Neuropsychologist" provider in Charlotte, North Carolina. She graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Carolinas Rehabilitation and her current practice location is
1100 Blythe Blvd, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(704) 355-9330.
Ivorie Louise Walker is licensed to practice in North Carolina (license number 5771) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1275024531.
Healthcare Provider's Profile
Full Name | Ivorie Louise Walker |
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Gender | Female |
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Speciality | Clinical Psychologist |
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Experience | 6 Years |
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Location | 1100 Blythe Blvd, Charlotte, North Carolina |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Ivorie Louise Walker graduated from medical school in 2018
NPI Data:
- NPI Number: 1275024531
- Provider Enumeration Date: 05/22/2018
- Last Update Date: 07/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 3173933439
- Enrollment ID: I20201028001118
Medical Identifiers
Medical identifiers for Ivorie Louise Walker such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275024531 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | 5771 (North Carolina) | Secondary |
103G00000X | Clinical Neuropsychologist | 5771 (North Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Carolinas Rehabilitation | 1557256351 | 6 |
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. Ivorie Louise Walker allows following entities to bill medicare on her behalf.
Entity Name | Carolinas Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1275774333 PECOS PAC ID: 4789597477 Enrollment ID: O20031110000116 |
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Entity Name | Carolinas Rehabilitation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1821112665 PECOS PAC ID: 1557256351 Enrollment ID: O20040419000763 |
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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. Ivorie Louise 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 |
Ivorie Louise Walker, PSYD Po Box 19305, Charlotte, NC 28219-9305 Ph: () - | Ivorie Louise Walker, PSYD 1100 Blythe Blvd, Charlotte, NC 28203-5814 Ph: (704) 355-9330 |
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