Samuel Walters, DO in Jacksonville, FL - Medicare Family Practice

Samuel Walters, DO is a medicare enrolled "Family Medicine" physician in Jacksonville, Florida. He went to New York College Of Osteo Medicine Of New York Institute Of Technology and graduated in 1996 and has 28 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Millennium Physician Group Llc and his current practice location is 7451 103rd St Ste 8, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 683-4968.

Samuel Walters is licensed to practice in Florida (license number OS8337) 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 1336119817.

Contact Information

	Samuel Walters, DO
	7451 103rd St Ste 8, Jacksonville, FL 32210-6788
	(904) 683-4968
	(904) 902-1202

Map and Direction

Physician's Profile

Full Name	Samuel Walters
Gender	Male
Speciality	Family Practice
Experience	28 Years
Location	7451 103rd St Ste 8, Jacksonville, Florida
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Samuel Walters attended and graduated from New York College Of Osteo Medicine Of New York Institute Of Technology in 1996

NPI Data:

NPI Number: 1336119817
Provider Enumeration Date: 01/25/2006
Last Update Date: 02/06/2024

Medicare PECOS Information:

PECOS PAC ID: 1355535204
Enrollment ID: I20101104000497

Medical Identifiers

Medical identifiers for Samuel Walters such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336119817	NPI	-	NPPES
261008600	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	OS8337 (Florida)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Millennium Physician Group Llc	9830244433	781

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. Samuel Walters allows following entities to bill medicare on his behalf.

Entity Name	Millennium Physician Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811122880 PECOS PAC ID: 9830244433 Enrollment ID: O20090903000338

Entity Name	Samuel Walters D.o.,p.a.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285966499 PECOS PAC ID: 4082749395 Enrollment ID: O20100311000727

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. Samuel 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
Samuel Walters, DO 2675 Winkler Ave Fl 2, Fort Myers, FL 33901-9342 Ph: (877) 856-3774	Samuel Walters, DO 7451 103rd St Ste 8, Jacksonville, FL 32210-6788 Ph: (904) 683-4968

Reviews and Comments

Family Medicine Doctors in Jacksonville, FL

Dr. Wissam M Shaya, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4235 Sunbeam Rd, Jacksonville, FL 32257 Phone: 904-322-8555 Fax: 904-322-8578
Kristie Driver, M.D.,M.P.H Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4530 Saint Johns Ave Ste 13, Jacksonville, FL 32210 Phone: 904-384-5222 Fax: 904-384-6468
Timothy Davlantes, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Dr. Marcia Wayne Funderburk, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1255 Lila St, Ufjp Lem Turner Family Practice Center, Jacksonville, FL 32208 Phone: 904-244-5802 Fax: 904-244-5791
Dr. Terry Dale Hashey, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9130 Rg Skinner Parkway, Jacksonville, FL 32256 Phone: 904-538-0950 Fax: 904-538-0952
Dr. Ana A Sanchez, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4266 Sunbeam Rd, Jacksonville, FL 32257 Phone: 904-268-5200
Dr. Monina Ilano Geda, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1909 Beach Blvd Ste 102, Jacksonville, FL 32250 Phone: 904-246-2752 Fax: 904-246-2758

Samuel Walters, DO - Medicare Family Practice in Jacksonville, FL