Dr Walter W Setlock, DO - Medicare Family Practice in Frackville, PA

Dr Walter W Setlock, DO is a medicare enrolled "Family Medicine" physician in Frackville, Pennsylvania. He went to Philadelphia College Of Osteopathic Medicine and graduated in 1984 and has 40 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Schuylkill Health System Medical Group, Inc. and his current practice location is 10 E Spruce St, Frackville, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (570) 874-7001.

Dr Walter W Setlock is licensed to practice in Pennsylvania (license number OWS005613L) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1881668473.

Contact Information

Dr Walter W Setlock, DO
10 E Spruce St,
Frackville, PA 17931
(570) 874-7001
(570) 874-2598

Map and Direction




Physician's Profile

Full NameDr Walter W Setlock
GenderMale
SpecialityFamily Practice
Experience40 Years
Location10 E Spruce St, Frackville, Pennsylvania
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Walter W Setlock attended and graduated from Philadelphia College Of Osteopathic Medicine in 1984
  NPI Data:
  • NPI Number: 1881668473
  • Provider Enumeration Date: 02/13/2006
  • Last Update Date: 08/13/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 9335106384
  • Enrollment ID: I20041213000050

Medical Identifiers

Medical identifiers for Dr Walter W Setlock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881668473NPI-NPPES
001114688MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine OWS005613L (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lehigh Valley Health NetworkPottsville, PAHome health agency
Geisiner Home HealthHazleton, PAHome health agency
Southeastern Home Care Services Of Pa, LlcElizabethtown, PAHome health agency
Schuylkill Medical Center - South Jackson StreetPottsville, PAHospital
Geisinger Medical CenterDanville, PAHospital
St Luke's Miners Memorial HospitalCoaldale, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Schuylkill Health System Medical Group, Inc.084028553287

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 Walter W Setlock allows following entities to bill medicare on his behalf.
Entity NameSchuylkill Health System Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588603567
PECOS PAC ID: 0840285532
Enrollment ID: O20040420001197

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 Walter W Setlock 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 AddressPractice Location Address
Dr Walter W Setlock, DO
Po Box 783311,
Philadelphia, PA 19178-3311

Ph: (484) 884-4500
Dr Walter W Setlock, DO
10 E Spruce St,
Frackville, PA 17931

Ph: (570) 874-7001

Reviews and Comments


Family Medicine Doctors in Frackville, PA

Richard Thomas Hale, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 701 West Oak St, Frackville, PA 17931
Phone: 570-874-4100    
Dr. James P. Langon, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 701 W Oak St, Frackville, PA 17931
Phone: 570-874-4100    Fax: 570-874-4182
James C Greenfield, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 40 W Frack St, Frackville, PA 17931
Phone: 570-794-6123    Fax: 570-794-6124
Dr. Casey D. Nowak, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 701 W Oak St, Frackville, PA 17931
Phone: 570-874-4100    Fax: 570-874-4182
Dr. Thomas R. Graf, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 701 W Oak St, Frackville, PA 17931
Phone: 570-874-4100    Fax: 570-874-4182
Anne Patricia Cadau, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 701 W Oak St, Frackville, PA 17931
Phone: 570-874-4100    Fax: 570-874-4182
Dr. Darrin Eric Doran, D.O.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 10 E Spruce St, Frackville, PA 17931
Phone: 570-874-7001    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.