Jane Walta, RD - Medicare Dietitian in Gore, OK

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Jane Walta, RD is a medicare enrolled "Dietitian, Registered" provider in Gore, Oklahoma. Her current practice location is 204 Primrose Ln, Gore, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 316-4572.

Jane Walta is licensed to practice in Oklahoma (license number 915) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1477881712.

Contact Information

Jane Walta, RD
204 Primrose Ln,
Gore, OK 74435-5605
(918) 316-4572
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJane Walta
GenderFemale
SpecialityDietitian, Registered
Location204 Primrose Ln, Gore, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1477881712
  • Provider Enumeration Date: 11/25/2009
  • Last Update Date: 05/26/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1951632462
  • Enrollment ID: I20191015002038

Medical Identifiers

Medical identifiers for Jane Walta such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477881712NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered 915 (Oklahoma)Primary

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. Jane Walta allows following entities to bill medicare on her behalf.
Provider NameLawton Indian Hospital
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1760489223
PECOS PAC ID: 6406800234
Enrollment ID: O20050304000301
Provider NameAnadarko Indian Health Center
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1881637403
PECOS PAC ID: 7719931559
Enrollment ID: O20050304000365
Provider NameCarnegie Indian Health Center
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1457459158
PECOS PAC ID: 1456456144
Enrollment ID: O20071217000184

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. Jane Walta 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
Jane Walta, RD
204 Primrose Ln,
Gore, OK 74435-5605

Ph: (918) 316-4572		Jane Walta, RD
204 Primrose Ln,
Gore, OK 74435-5605

Ph: (918) 316-4572

Reviews and Comments


Dietitian, Registered in Gore, OK


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.