| Andrew Madison Walters, DO | |
|
612 Mocksville Ave, Salisbury, NC 28144-2732 | |
| (704) 749-5800 | |
| Not Available |
| Full Name | Andrew Madison Walters |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 8 Years |
| Location | 612 Mocksville Ave, Salisbury, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447781349 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 2021-00388 (North Carolina) | Primary |
| 207L00000X | Anesthesiology | R4605 (Kentucky) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Novant Health Rowan Medical Center | Salisbury, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Anesthesiology Associates Pa | 3971566761 | 240 |
| Entity Name | Providence Anesthesiology Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396739884 PECOS PAC ID: 3971566761 Enrollment ID: O20041111000930 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Madison Walters, DO 3735 Glenlake Dr Ste 250, Charlotte, NC 28208-6866 Ph: (704) 749-5800 | Andrew Madison Walters, DO 612 Mocksville Ave, Salisbury, NC 28144-2732 Ph: (704) 749-5800 |
Dr. Robert James Blok Sr., D.O. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1601 Brenner Ave, Salisbury, NC 28144 Phone: 704-638-9000 Fax: 704-638-3875 | |
Amoghavarsha Krishna, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 612 Mocksville Ave, Salisbury, NC 28144 Phone: 704-749-5801 | |
Dr. Jean-mary Breton, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1601 Brenner Ave, Salisbury, NC 28144 Phone: 704-638-9000 | |
Dr. Hoon Bo Shim, M.D., PH.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1601 Brenner Ave, Salisbury, NC 28144 Phone: 704-638-9000 Fax: 336-515-5404 | |
Dr. Joshua Todd Clontz, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 612 Mocksville Ave, Salisbury, NC 28144 Phone: 704-210-5000 | |
Robert Bruce Wilson Ii, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 320 Jake Alexander Blvd W, Salisbury, NC 28147 Phone: 704-797-0065 Fax: 704-797-0067 |