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 |
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Gender | Female |
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Speciality | Nurse Practitioner - Gerontology |
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Location | 2428 N Grandview Blvd Ste 102, Waukesha, Wisconsin |
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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 |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1669910345 PECOS PAC ID: 0042595175 Enrollment ID: O20170331001848 |
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Entity Name | Maple Medical Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1487152104 PECOS PAC ID: 9032471248 Enrollment ID: O20180328002607 |
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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. 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 |
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