Dylan Jarod Walter, MD - Medicare Student in an Organized Health Care Education/Training Program in Lakeland, FL

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Dylan Jarod Walter, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Lakeland, Florida. His current practice location is 1324 Lakeland Hills Blvd, Lakeland, Florida. You can reach out to his office (for appointments etc.) via phone at (863) 687-1100.

Dylan Jarod Walter is licensed to practice in * (Not Available) (license number ) 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 1205464567.

Contact Information

Dylan Jarod Walter, MD
1324 Lakeland Hills Blvd,
Lakeland, FL 33805-4543
(863) 687-1100
Not Available

Map and Direction




Physician's Profile

Full NameDylan Jarod Walter
GenderMale
SpecialityStudent In An Organized Health Care Education/training Program
Location1324 Lakeland Hills Blvd, Lakeland, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1205464567
  • Provider Enumeration Date: 03/31/2020
  • Last Update Date: 06/03/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1557886439
  • Enrollment ID: I20250423002470

Medical Identifiers

Medical identifiers for Dylan Jarod Walter such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205464567NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine ME170075 (Florida)Secondary
208M00000XHospitalist ME170075 (Florida)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))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. Dylan Jarod Walter allows following entities to bill medicare on his behalf.
Entity NameLakeland Regional Health Systems Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497748743
PECOS PAC ID: 8325952914
Enrollment ID: O20031118000384
Entity NameTampa General Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043557853
PECOS PAC ID: 7416253828
Enrollment ID: O20160310002525

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. Dylan Jarod Walter 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
Dylan Jarod Walter, MD
501 Knights Run Ave,
Tampa, FL 33602-5938

Ph: (830) 708-8584		Dylan Jarod Walter, MD
1324 Lakeland Hills Blvd,
Lakeland, FL 33805-4543

Ph: (863) 687-1100

Reviews and Comments



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.