Mr Randall Wayne Walters, MD - Medicare Family Medicine in Harts, WV

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Mr Randall Wayne Walters, MD is a medicare enrolled "Family Medicine" physician in Harts, West Virginia. His current practice location is 22 Fleming Dr, Harts, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 855-4595.

Mr Randall Wayne Walters is licensed to practice in West Virginia (license number 22354) 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 1427014794.

Contact Information

Mr Randall Wayne Walters, MD
22 Fleming Dr,
Harts, WV 25524-9788
(304) 855-4595
(304) 855-9377

Map and Direction




Physician's Profile

Full NameMr Randall Wayne Walters
GenderMale
SpecialityFamily Medicine
Location22 Fleming Dr, Harts, West Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1427014794
  • Provider Enumeration Date: 04/25/2006
  • Last Update Date: 05/29/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 9133027253
  • Enrollment ID: I20090805000087

Medical Identifiers

Medical identifiers for Mr Randall Wayne Walters such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427014794NPI-NPPES
P01128276OtherWVMEDICARE RR PTAN
3810005193MedicaidWV

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 22354 (West Virginia)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. Mr Randall Wayne Walters allows following entities to bill medicare on his behalf.
Entity NameSouthern Medical Partners, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538109962
PECOS PAC ID: 8123923679
Enrollment ID: O20031206000036
Entity NameSoutheastern Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356379382
PECOS PAC ID: 2466364997
Enrollment ID: O20050302000285
Entity NameGreen Valley Emergency Physicians, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720755739
PECOS PAC ID: 4385035534
Enrollment ID: O20230926000510

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. Mr Randall Wayne Walters 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
Mr Randall Wayne Walters, MD
Po Box 1680,
Huntington, WV 25717-1680

Ph: (304) 697-1396		Mr Randall Wayne Walters, MD
22 Fleming Dr,
Harts, WV 25524-9788

Ph: (304) 855-4595

Reviews and Comments


Family Medicine Doctors in Harts, WV


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.