Dr Kevin Craig Walters, MD is a medicare enrolled "Preventive Medicine - Occupational Medicine" physician in Meridian, Idaho. 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 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 1235276700.
Physician's Profile
| Full Name | Dr Kevin Craig Walters |
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| Gender | Male |
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| Speciality | Preventive Medicine - Occupational Medicine |
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| Location | 520 S Eagle Rd Ste 2213, Meridian, Idaho |
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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: 1235276700
- Provider Enumeration Date: 01/31/2007
- Last Update Date: 02/24/2025
Medicare PECOS Information:
- PECOS PAC ID: 9133309206
- Enrollment ID: I20110207000357
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 | Kaiser Foundation Health Plan Of The Northwest |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184786527
PECOS PAC ID: 5799688230
Enrollment ID: O20040130000799 |
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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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