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

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 Name	Walter L Wynne
Gender	Male
Speciality	Internal Medicine
Experience	39 Years
Location	2131 W 3rd St, Los Angeles, California
Accepts Medicare Assignments	Yes. 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.

Identifier	Type	State	Issuer
1396797817	NPI	-	NPPES
A043607	Other	CA	STATE LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208M00000X	Hospitalist	A043607 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Fairchild Medical Center	Yreka, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Siskiyou Hospital Inc	1254223134	51

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 Name	Siskiyou Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093892275 PECOS PAC ID: 1254223134 Enrollment ID: O20040927000311

Entity Name	Glenn Medical Center, Inc
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI 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 Address	Practice 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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Scott Kubomoto, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 11100 Santa Monica Blvd, Suite 250, Los Angeles, CA 90025 Phone: 424-321-6309

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