| Cornelius Todd Walter, MD | |
|
133 N Howard Ave, Landrum, SC 29356 | |
| (864) 560-9507 | |
| Not Available |
| Full Name | Cornelius Todd Walter |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 32 Years |
| Location | 133 N Howard Ave, Landrum, South 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 |
|---|---|---|---|
| 1619948379 | NPI | - | NPPES |
| 174206 | Medicaid | SC | |
| F876975121 | Other | SC | MEDICARE PIN |
| 890665G | Medicaid | NC | |
| P00721817 | Other | NC | RR MEDICARE |
| 2279674C | Other | NC | MEDICARE PIN |
| 5850260 | Other | SC | AETNA |
| 080120336 | Other | SC | RAIL ROAD MEDICARE |
| 66392 | Other | SC | MEDCOST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 9601513 (North Carolina) | Secondary |
| 207Q00000X | Family Medicine | 17420 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Spartanburg Medical Center | Spartanburg, SC | Hospital |
| St Lukes Hospital | Columbus, NC | Hospital |
| Pelham Medical Center | Greer, SC | Hospital |
| Margaret R Pardee Memorial Hospital | Hendersonville, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Spartanburg Medical Center | 3072425297 | 977 |
| Entity Name | Spartanburg Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760114664 PECOS PAC ID: 3072425297 Enrollment ID: O20040108000827 |
| Entity Name | Spartanburg Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699729939 PECOS PAC ID: 3072425297 Enrollment ID: O20040702000686 |
| Mailing Address | Practice Location Address |
|---|---|
| Cornelius Todd Walter, MD Po Box 743070, Atlanta, GA 30374-3070 Ph: (864) 560-4304 | Cornelius Todd Walter, MD 133 N Howard Ave, Landrum, SC 29356 Ph: (864) 560-9507 |
Amber Hendricks, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1000 E Rutherford St, Landrum, SC 29356 Phone: 864-457-4141 | |
Jason Lee Watson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 133 N Howard Ave, Landrum, SC 29356 Phone: 864-457-3838 Fax: 864-560-9532 | |
Erin Caudill Nash, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 133 N Howard Ave, Landrum, SC 29356 Phone: 864-457-3838 Fax: 864-560-9532 | |
Kimberly Lynn Bridges, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 133 N Howard Ave, Landrum, SC 29356 Phone: 864-560-9507 | |
Nicolas Seth Dawson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 133 N Howard Ave, Landrum, SC 29356 Phone: 864-457-3838 Fax: 864-560-9532 | |
Wanda J Starling, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1014 S Blackstock Rd, Landrum, SC 29356 Phone: 864-457-2033 Fax: 864-848-8551 |