Robert William Walters, MD is a medicare enrolled "Dermatology" physician in Laurel, Mississippi. He graduated from medical school in 2003 and has 23 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Hattiesburg Clinic Pa and his current practice location is
136 S 15th Ave, Laurel, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(601) 428-8428.
Robert William Walters is licensed to practice in Mississippi (license number 31916) 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 1548482482.
Physician's Profile
| Full Name | Robert William Walters |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 23 Years |
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| Location | 136 S 15th Ave, Laurel, Mississippi |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Robert William Walters graduated from medical school in 2003
NPI Data:
- NPI Number: 1548482482
- Provider Enumeration Date: 05/02/2007
- Last Update Date: 11/29/2023
Medicare PECOS Information:
- PECOS PAC ID: 2466553987
- Enrollment ID: I20230926002676
Medical Identifiers
Medical identifiers for Robert William Walters such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1548482482 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | MD2009-0594 (New Mexico) | Secondary |
| 207N00000X | Dermatology | M-15814 (Idaho) | Secondary |
| 207N00000X | Dermatology | 31916 (Mississippi) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Hattiesburg Clinic Pa | 5193706794 | 492 |
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. Robert William Walters allows following entities to bill medicare on his behalf.
| Entity Name | Hattiesburg Clinic Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740213446
PECOS PAC ID: 5193706794
Enrollment ID: O20040528000685 |
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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. Robert William 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 Address | Practice Location Address |
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Robert William Walters, MD
415 S 28th Ave,
Hattiesburg, MS 39401-7246
Ph: (601) 428-8428 | Robert William Walters, MD
136 S 15th Ave,
Laurel, MS 39440-4124
Ph: (601) 428-8428 |
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