Dr Kevin Craig Walters, MD is a medicare enrolled "Preventive Medicine - Occupational Medicine" physician in Meridian, Idaho. He graduated from medical school in 1993 and has 32 years of diverse experience with area of expertise as Preventive Medicine. His current practice location is
520 S Eagle Rd Ste 2213, Meridian, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 706-5447.
Dr Kevin Craig Walters is licensed to practice in Idaho (license number M-15633) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1235276700.
Physician's Profile
| Full Name | Dr Kevin Craig Walters |
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| Gender | Male |
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| Speciality | Preventive Medicine |
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| Experience | 32 Years |
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| Location | 520 S Eagle Rd Ste 2213, Meridian, Idaho |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Kevin Craig Walters graduated from medical school in 1993
NPI Data:
- NPI Number: 1235276700
- Provider Enumeration Date: 01/31/2007
- Last Update Date: 02/24/2025
Medicare PECOS Information:
- PECOS PAC ID: 9133309206
- Enrollment ID: I20250304001928
Medical Identifiers
Medical identifiers for Dr Kevin Craig Walters such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1235276700 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2083P0011X | Preventive Medicine - Undersea And Hyperbaric Medicine | MD25772 (Oregon) | Secondary |
| 2083X0100X | Preventive Medicine - Occupational Medicine | MD25772 (Oregon) | Secondary |
| 2083X0100X | Preventive Medicine - Occupational Medicine | M-15633 (Idaho) | 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. Dr Kevin Craig Walters allows following entities to bill medicare on his behalf.
| Entity Name | St Lukes Clinic-treasure Valley Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326336058
PECOS PAC ID: 4981878402
Enrollment ID: O20111119000045 |
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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. Dr Kevin Craig 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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Dr Kevin Craig Walters, MD
190 E Bannock St,
Boise, ID 83712-6241
Ph: () - | Dr Kevin Craig Walters, MD
520 S Eagle Rd Ste 2213,
Meridian, ID 83642-6354
Ph: (208) 706-5447 |
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