Dr Roosevelt Walker Iii, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Cold Spring, Kentucky. His current practice location is
140 Plaza Dr, Cold Spring, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(859) 912-6500.
Dr Roosevelt Walker Iii is licensed to practice in Kentucky (license number 22232) 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 1346270360.
Physician's Profile
| Full Name | Dr Roosevelt Walker Iii |
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| Gender | Male |
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| Speciality | Obstetrics & Gynecology |
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| Location | 140 Plaza Dr, Cold Spring, Kentucky |
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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: 1346270360
- Provider Enumeration Date: 07/04/2006
- Last Update Date: 03/27/2017
Medicare PECOS Information:
- PECOS PAC ID: 5597708446
- Enrollment ID: I20050602000376
Medical Identifiers
Medical identifiers for Dr Roosevelt Walker Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346270360 | NPI | - | NPPES |
| 0645912 | Medicaid | OH | |
| 64222326 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207V00000X | Obstetrics & Gynecology | 22232 (Kentucky) | 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 Roosevelt Walker Iii allows following entities to bill medicare on his behalf.
| Entity Name | Wright State Physicians Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114920329
PECOS PAC ID: 7618889320
Enrollment ID: O20031103000097 |
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| Entity Name | Trihealth G Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295862944
PECOS PAC ID: 0749222651
Enrollment ID: O20050601000358 |
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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 Roosevelt Walker Iii 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 Roosevelt Walker Iii, MD
4685 Forest Ave, Ste C,
Cincinnati, OH 45212-3359
Ph: (513) 853-4731 | Dr Roosevelt Walker Iii, MD
140 Plaza Dr,
Cold Spring, KY 41076-2166
Ph: (859) 912-6500 |
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