Thomas Raymond Walsh, MD is a medicare enrolled "Surgery" physician in Kernersville, North Carolina. His current practice location is
1730 Kernersville Medical Pkwy Ste 101, Kernersville, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(336) 564-4950.
Thomas Raymond Walsh is licensed to practice in North Carolina (license number 34192) 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 1831124254.
Physician's Profile
| Full Name | Thomas Raymond Walsh |
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| Gender | Male |
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| Speciality | Surgery |
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| Location | 1730 Kernersville Medical Pkwy Ste 101, Kernersville, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1831124254
- Provider Enumeration Date: 07/12/2006
- Last Update Date: 02/14/2024
Medicare PECOS Information:
- PECOS PAC ID: 9133263965
- Enrollment ID: I20100217000706
Medical Identifiers
Medical identifiers for Thomas Raymond Walsh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1831124254 | NPI | - | NPPES |
| 020031231 | Other | NC | RR MEDICARE |
| 898552C | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208600000X | Surgery | 34192 (North Carolina) | 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. Thomas Raymond Walsh allows following entities to bill medicare on his behalf.
| Entity Name | Wake Forest Health Network Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477785756 PECOS PAC ID: 4183538895 Enrollment ID: O20031117000868 |
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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. Thomas Raymond Walsh 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 |
Thomas Raymond Walsh, MD Po Box 60447, Charlotte, NC 28260-0447 Ph: (336) 564-4035 | Thomas Raymond Walsh, MD 1730 Kernersville Medical Pkwy Ste 101, Kernersville, NC 27284-7198 Ph: (336) 564-4950 |
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