Walter L Wynne, MD - Medicare Internal Medicine in Los Angeles, CA

Walter L Wynne, MD is a medicare enrolled "Hospitalist" physician in Los Angeles, California. He went to University Of Cincinnati College Of Medicine and graduated in 1985 and has 39 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Siskiyou Hospital Inc and his current practice location is 2131 W 3rd St, St Vincent Medical Center, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (310) 874-0623.

Walter L Wynne is licensed to practice in California (license number A043607) 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 1396797817.

Contact Information

Walter L Wynne, MD
2131 W 3rd St, St Vincent Medical Center,
Los Angeles, CA 90057-1901
(310) 874-0623
Not Available

Map and Direction




Physician's Profile

Full NameWalter L Wynne
GenderMale
SpecialityInternal Medicine
Experience39 Years
Location2131 W 3rd St, Los Angeles, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Walter L Wynne attended and graduated from University Of Cincinnati College Of Medicine in 1985
  NPI Data:
  • NPI Number: 1396797817
  • Provider Enumeration Date: 05/16/2006
  • Last Update Date: 05/13/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 2668441379
  • Enrollment ID: I20040929000848

Medical Identifiers

Medical identifiers for Walter L Wynne such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396797817NPI-NPPES
A043607OtherCASTATE LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist A043607 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Fairchild Medical CenterYreka, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Siskiyou Hospital Inc125422313451

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. Walter L Wynne allows following entities to bill medicare on his behalf.
Entity NameSiskiyou Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093892275
PECOS PAC ID: 1254223134
Enrollment ID: O20040927000311
Entity NameGlenn Medical Center, Inc
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1336187178
PECOS PAC ID: 3870505035
Enrollment ID: O20070705000269

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. Walter L Wynne 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 AddressPractice Location Address
Walter L Wynne, MD
201 Wilshire Blvd, Ste A26,
Santa Monica, CA 90401-1212

Ph: (310) 874-0623
Walter L Wynne, MD
2131 W 3rd St, St Vincent Medical Center,
Los Angeles, CA 90057-1901

Ph: (310) 874-0623

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.