Nicholas Walle, - Medicare Diagnostic Radiology in Providence, RI

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Nicholas Walle, is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Providence, Rhode Island. He went to Georgetown University School Of Medicine and graduated in 2006 and has 19 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Straub Clinic And Hospital and his current practice location is 593 Eddy St, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 444-8450.

Nicholas Walle is licensed to practice in Rhode Island (license number LP00865) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1770701872.

Contact Information

Nicholas Walle,
593 Eddy St,
Providence, RI 02903-4923
(401) 444-8450
(401) 444-5088

Map and Direction




Physician's Profile

Full NameNicholas Walle
GenderMale
SpecialityDiagnostic Radiology
Experience19 Years
Location593 Eddy St, Providence, Rhode Island
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nicholas Walle attended and graduated from Georgetown University School Of Medicine in 2006
  NPI Data:
  • NPI Number: 1770701872
  • Provider Enumeration Date: 04/23/2007
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 3678741519
  • Enrollment ID: I20120529000222

Medical Identifiers

Medical identifiers for Nicholas Walle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770701872NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology LP00865 (Rhode Island)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Straub Clinic And HospitalHonolulu, HIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Straub Clinic And Hospital6305759754409

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 Walle allows following entities to bill medicare on his behalf.
Entity NameStraub Clinic & Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457306508
PECOS PAC ID: 6305759754
Enrollment ID: O20031111000417
Entity NameKauai Medical Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376596643
PECOS PAC ID: 5092628479
Enrollment ID: O20031111000540
Entity NameRadiology Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205885134
PECOS PAC ID: 5395634364
Enrollment ID: O20040315001300

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 Walle 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
Nicholas Walle,
593 Eddy St,
Providence, RI 02903-4923

Ph: (401) 444-8450		Nicholas Walle,
593 Eddy St,
Providence, RI 02903-4923

Ph: (401) 444-8450

Reviews and Comments


Radiology Doctors in Providence, RI

Lars Stangenberg, MD
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Phone: 401-553-8318    Fax: 401-868-2307
Kara Lynne Leonard, M.D.
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Practice Location: 593 Eddy St, Rih Radiation Oncology, Providence, RI 02903
Phone: 401-444-8311    Fax: 401-444-5335
Paul S Rava, MD, PHD
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Phone: 401-444-8311    
Earle O Assanah, M.D.
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Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-5174    
Glenn A Tung, MD
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Practice Location: 593 Eddy St, Providence, RI 02903
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Dr. John Charles Mach, DO
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Practice Location: 593 Eddy St, Providence, RI 02903
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Sarah-kim Shields, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy St, Radiology, Providence, RI 02903
Phone: 401-444-2133    Fax: 401-444-5017

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.