Nicholas Dean Walther, MD in Fort Campbell, KY

Nicholas Dean Walther, MD is a medicare enrolled "Emergency Medicine" physician in Fort Campbell, Kentucky. His current practice location is 650 Joel Dr, Fort Campbell, Kentucky. You can reach out to his office (for appointments etc.) via phone at (270) 798-8400.

Nicholas Dean Walther is licensed to practice in Tennessee (license number 71561) 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 1366907727.

Contact Information

	Nicholas Dean Walther, MD
	650 Joel Dr, Fort Campbell, KY 42223-5318
	(270) 798-8400
	Not Available

Map and Direction

Physician's Profile

Full Name	Nicholas Dean Walther
Gender	Male
Speciality	Emergency Medicine
Location	650 Joel Dr, Fort Campbell, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366907727
Provider Enumeration Date: 02/09/2019
Last Update Date: 11/26/2024

Medicare PECOS Information:

PECOS PAC ID: 2365971223
Enrollment ID: I20250123000003

Medical Identifiers

Medical identifiers for Nicholas Dean Walther such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366907727	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	32910 (Nebraska)	Secondary
208D00000X	General Practice	32910 (Nebraska)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207P00000X	Emergency Medicine	71561 (Tennessee)	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. Nicholas Dean Walther allows following entities to bill medicare on his behalf.

Entity Name	Southeastern Emergency Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050125000997

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. Nicholas Dean Walther 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
Nicholas Dean Walther, MD 650 Joel Dr, Fort Campbell, KY 42223-5318 Ph: (270) 798-8400	Nicholas Dean Walther, MD 650 Joel Dr, Fort Campbell, KY 42223-5318 Ph: (270) 798-8400

Reviews and Comments

Emergency Medicine Doctors in Fort Campbell, KY

Dr. Gary Lee Eberly, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8500
Frances Gill, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-461-0127
Ned Zagajac, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 646-827-9781
Dr. Davida Hemmy, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 360-632-6035
Steven Tanksley, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-956-4498
Dr. Anthony Wade Jones, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 650 Joel Dr, Credentialing Office, Fort Campbell, KY 42223 Phone: 210-916-2460
Dr. Joseph Jude, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8727

Nicholas Dean Walther, MD - Medicare Emergency Medicine in Fort Campbell, KY