Dr Campbell Walters, DMD in Crystal City, MO

Dr Campbell Walters, DMD is a medicare enrolled "Dentist" provider in Crystal City, Missouri. His current practice location is 2380 N Truman Blvd, Crystal City, Missouri. You can reach out to his office (for appointments etc.) via phone at (636) 937-9193.

Dr Campbell Walters is licensed to practice in Illinois (license number 019.031733) 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 1891249652.

Contact Information

	Dr Campbell Walters, DMD
	2380 N Truman Blvd, Crystal City, MO 63019-1037
	(636) 937-9193
	(314) 200-9691

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Campbell Walters
Gender	Male
Speciality	Dentist
Location	2380 N Truman Blvd, Crystal City, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891249652
Provider Enumeration Date: 08/10/2016
Last Update Date: 12/19/2018

Medicare PECOS Information:

PECOS PAC ID: 3678818358
Enrollment ID: I20181227002402

Medical Identifiers

Medical identifiers for Dr Campbell Walters such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891249652	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	019.031733 (Illinois)	Primary
122300000X	Dentist	2016025042 (Missouri)	Secondary

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 Campbell Walters allows following entities to bill medicare on his behalf.

Entity Name	Macoupin County Public Health Department
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538444906 PECOS PAC ID: 1557377850 Enrollment ID: O20060223000446

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 Campbell Walters 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 Campbell Walters, DMD 4337 Butler Hill Rd Ste L, Saint Louis, MO 63128-3735 Ph: (314) 732-4591	Dr Campbell Walters, DMD 2380 N Truman Blvd, Crystal City, MO 63019-1037 Ph: (636) 937-9193

Reviews and Comments

Dentist in Crystal City, MO

Dr. Ronald Wayne Parkin, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2380 N Truman Blvd, Crystal City, MO 63019 Phone: 636-937-9193 Fax: 636-937-9194
John Irving Mills, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2380 N Truman Blvd, Crystal City, MO 63019 Phone: 636-937-9193 Fax: 636-937-9194
Dr. Jean Melinda Hagan, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 600b N Truman Blvd, Crystal City, MO 63019 Phone: 636-937-5707 Fax: 636-937-6023

Dr Campbell Walters, DMD - Medicare Dentist in Crystal City, MO