Kay Marie Walter, APNP, AGPCNP-BC is a medicare enrolled "Nurse Practitioner - Gerontology" physician in Waukesha, Wisconsin. Her current practice location is
2428 N Grandview Blvd Ste 102, Waukesha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(262) 875-5070.
Kay Marie Walter is licensed to practice in Wisconsin (license number 10601-33) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1972108785.
Physician's Profile
| Full Name | Kay Marie Walter |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Gerontology |
|---|
| Location | 2428 N Grandview Blvd Ste 102, Waukesha, Wisconsin |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1972108785
- Provider Enumeration Date: 12/01/2020
- Last Update Date: 01/21/2025
Medicare PECOS Information:
- PECOS PAC ID: 3971916057
- Enrollment ID: I20210111000061
Medical Identifiers
Medical identifiers for Kay Marie Walter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1972108785 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207R00000X | Internal Medicine | 10601-33 (Wisconsin) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | 10601-33 (Wisconsin) | 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. Kay Marie Walter allows following entities to bill medicare on her behalf.
| Entity Name | Oak Medical Sc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1669910345 PECOS PAC ID: 0042595175 Enrollment ID: O20170331001848 |
|---|
| Entity Name | Maple Medical Sc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1487152104 PECOS PAC ID: 9032471248 Enrollment ID: O20180328002607 |
|---|
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. Kay Marie 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 Address | Practice Location Address |
Kay Marie Walter, APNP, AGPCNP-BC Po Box 474, Hartland, WI 53029-0474 Ph: (262) 875-5070 | Kay Marie Walter, APNP, AGPCNP-BC 2428 N Grandview Blvd Ste 102, Waukesha, WI 53188-6906 Ph: (262) 875-5070 |
Reviews and Comments