Walter Kenneth Austin Jr, MD is a medicare enrolled "Clinic/center - Federally Qualified Health Center (fqhc)" physician in Jasper, Georgia. His current practice location is
175 Samaritan Dr, Jasper, Georgia. You can reach out to his office (for appointments etc.) via phone at
(706) 253-4633.
Walter Kenneth Austin Jr is licensed to practice in Georgia (license number 047049) 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 1548265838.
Physician's Profile
| Full Name | Walter Kenneth Austin Jr |
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| Gender | Male |
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| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
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| Location | 175 Samaritan Dr, Jasper, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1548265838
- Provider Enumeration Date: 06/14/2005
- Last Update Date: 09/04/2025
Medicare PECOS Information:
- PECOS PAC ID: 5799849451
- Enrollment ID: I20090126000392
Medical Identifiers
Medical identifiers for Walter Kenneth Austin Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1548265838 | NPI | - | NPPES |
| 000818639DEG | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RC0000X | Internal Medicine - Cardiovascular Disease | 047049 (Georgia) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 047049 (Georgia) | Primary |
| 207R00000X | Internal Medicine | 047049 (Georgia) | Secondary |
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. Walter Kenneth Austin Jr allows following entities to bill medicare on his behalf.
| Entity Name | Good Samaritan Health & Wellness Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407174675
PECOS PAC ID: 7719136209
Enrollment ID: O20120926000639 |
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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. Walter Kenneth Austin Jr 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 |
|---|
Walter Kenneth Austin Jr, MD
175 Samaritan Dr Ste 100,
Jasper, GA 30143-1964
Ph: (706) 253-4633 | Walter Kenneth Austin Jr, MD
175 Samaritan Dr,
Jasper, GA 30143-1964
Ph: (706) 253-4633 |
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