Angela D Walters, FNP-C is a medicare enrolled "General Practice" physician in Sullivan, Indiana. She graduated from medical school in 2024 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Sullivan County Community Hospital and her current practice location is
2200 N Section St Ste A, Sullivan, Indiana. You can reach out to her office (for appointments etc.) via phone at
(812) 268-6292.
Angela D Walters is licensed to practice in Indiana (license number 71015802A) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1407674195.
Physician's Profile
| Full Name | Angela D Walters |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 1 Years |
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| Location | 2200 N Section St Ste A, Sullivan, Indiana |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Angela D Walters graduated from medical school in 2024
NPI Data:
- NPI Number: 1407674195
- Provider Enumeration Date: 10/01/2024
- Last Update Date: 10/01/2024
Medicare PECOS Information:
- PECOS PAC ID: 8224560602
- Enrollment ID: I20241010003081
Medical Identifiers
Medical identifiers for Angela D Walters such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1407674195 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208D00000X | General Practice | 71015802A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Sullivan County Community Hospital | 2466497482 | 39 |
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. Angela D Walters allows following entities to bill medicare on her behalf.
| Entity Name | Sullivan County Community Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497363303 PECOS PAC ID: 2466497482 Enrollment ID: O20200831000591 |
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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. Angela D 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 |
Angela D Walters, FNP-C 2200 N Section St, Sullivan, IN 47882-7523 Ph: (812) 268-4311 | Angela D Walters, FNP-C 2200 N Section St Ste A, Sullivan, IN 47882-7523 Ph: (812) 268-6292 |
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