Dr Brandon R Walters, OD is a medicare enrolled "Optometrist" provider in Connell, Washington. He went to Southern California College Of Optometry and graduated in 2007 and has 17 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Columbia Basin Health Association and his current practice location is
1051 Columbia Ave, Connell, Washington. You can reach out to his office (for appointments etc.) via phone at
(509) 488-5256.
Dr Brandon R Walters is licensed to practice in Washington (license number OD60040766) 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 1699944181.
Healthcare Provider's Profile
| Full Name | Dr Brandon R Walters |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 17 Years |
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| Location | 1051 Columbia Ave, Connell, Washington |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Brandon R Walters attended and graduated from Southern California College Of Optometry in 2007
NPI Data:
- NPI Number: 1699944181
- Provider Enumeration Date: 02/28/2008
- Last Update Date: 12/01/2022
Medicare PECOS Information:
- PECOS PAC ID: 7810056595
- Enrollment ID: I20081110000776
Medical Identifiers
Medical identifiers for Dr Brandon R Walters such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699944181 | NPI | - | NPPES |
| 2034643 | Medicaid | WA | |
| OD60040766 | Other | WA | DOH LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 6664178-9934 (Utah) | Secondary |
| 152W00000X | Optometrist | OD60040766 (Washington) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Columbia Basin Health Association | 4486564309 | 33 |
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 Brandon R Walters allows following entities to bill medicare on his behalf.
| Provider Name | Columbia Basin Health Association |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1528316379
PECOS PAC ID: 4486564309
Enrollment ID: O20040209000250 |
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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. Dr Brandon R 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 |
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Dr Brandon R Walters, OD
1515 E Columbia St,
Othello, WA 99344-1846
Ph: (509) 488-5250 | Dr Brandon R Walters, OD
1051 Columbia Ave,
Connell, WA 99326-8702
Ph: (509) 488-5256 |
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