Benjamin Kenneth Walters, MD is a medicare enrolled "Otolaryngology" physician in Keesler Air Force Base, Mississippi. His current practice location is
Keesler Medical Center, 301 Fisher St, Keesler Air Force Base, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(228) 376-0418.
Benjamin Kenneth Walters is licensed to practice in Mississippi (license number 31534) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1588165542.
Physician's Profile
| Full Name | Benjamin Kenneth Walters |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Location | Keesler Medical Center, Keesler Air Force Base, Mississippi |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1588165542
- Provider Enumeration Date: 02/26/2018
- Last Update Date: 02/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 1052776994
- Enrollment ID: I20240209001081
Medical Identifiers
Medical identifiers for Benjamin Kenneth Walters such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1588165542 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Y00000X | Otolaryngology | 01083351A (Indiana) | Secondary |
| 208D00000X | General Practice | 01083351A (Indiana) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207Y00000X | Otolaryngology | 31534 (Mississippi) | 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. Benjamin Kenneth Walters allows following entities to bill medicare on his behalf.
| Entity Name | Arnett Clinic Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164490843
PECOS PAC ID: 0749184380
Enrollment ID: O20031125000119 |
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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. Benjamin Kenneth 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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Benjamin Kenneth Walters, MD
San Antonio Military Medical Center, Mche-zdm-m, Otolaryngology Residency, 3551 Roger Brooke Dr,
Jbsa-fort Sam Houston, TX 78234-4504
Ph: (210) 292-5077 | Benjamin Kenneth Walters, MD
Keesler Medical Center, 301 Fisher St,
Keesler Air Force Base, MS 39534
Ph: (228) 376-0418 |
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