Sam Waltos, DO - Medicare Family Medicine in Winchester, VA

Sam Waltos, DO is a medicare enrolled "Family Medicine" physician in Winchester, Virginia. His current practice location is 104 Selma Dr, Winchester, Virginia. You can reach out to his office (for appointments etc.) via phone at (540) 678-2800.

Sam Waltos is licensed to practice in Virginia (license number 0102204964) 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 1154702868.

Contact Information

Sam Waltos, DO
104 Selma Dr,
Winchester, VA 22601-3834
(540) 678-2800
(540) 667-0652

Map and Direction




Physician's Profile

Full NameSam Waltos
GenderMale
SpecialityFamily Medicine
Location104 Selma Dr, Winchester, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1154702868
  • Provider Enumeration Date: 06/18/2015
  • Last Update Date: 10/23/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7012208044
  • Enrollment ID: I20190416002003

Medical Identifiers

Medical identifiers for Sam Waltos such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154702868NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine H88467 (Maryland)Secondary
207Q00000XFamily Medicine 0102204964 (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. Sam Waltos allows following entities to bill medicare on his behalf.
Entity NameSelma Medical Assoc Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144325721
PECOS PAC ID: 5092618611
Enrollment ID: O20040130000637

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. Sam Waltos 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
Sam Waltos, DO
104 Selma Dr,
Winchester, VA 22601-3834

Ph: (540) 678-2800
Sam Waltos, DO
104 Selma Dr,
Winchester, VA 22601-3834

Ph: (540) 678-2800

Reviews and Comments


Family Medicine Doctors in Winchester, VA

Barbara Anne Harris Feshami, M.D.
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Dr. Arthur Sterling Ticknor, M.D.
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Medicare: Medicare Enrolled
Practice Location: 607 E Jubal Early Dr, Winchester, VA 22601
Phone: 540-536-2232    Fax: 540-536-2206

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.