Mr Dakota Walker, FNP-BC in Johnson City, TN - Medicare Nurse Practitioner

Mr Dakota Walker, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Johnson City, Tennessee. His current practice location is 400 N State Of Franklin Rd, Johnson City, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 525-2375.

Mr Dakota Walker is licensed to practice in Tennessee (license number 31941) 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 1396471132.

Contact Information

	Mr Dakota Walker, FNP-BC
	400 N State Of Franklin Rd, Johnson City, TN 37604-6035
	(423) 525-2375
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Dakota Walker
Gender	Male
Speciality	Nurse Practitioner - Family
Location	400 N State Of Franklin Rd, Johnson City, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396471132
Provider Enumeration Date: 07/25/2022
Last Update Date: 10/28/2022

Medicare PECOS Information:

PECOS PAC ID: 0648647206
Enrollment ID: I20221110002108

Medical Identifiers

Medical identifiers for Mr Dakota Walker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396471132	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	31941 (Tennessee)	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. Mr Dakota Walker allows following entities to bill medicare on his behalf.

Entity Name	Blue Ridge Medical Management Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144380833 PECOS PAC ID: 9739099441 Enrollment ID: O20031204000996

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. Mr Dakota Walker 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
Mr Dakota Walker, FNP-BC 181 Cedar Point Rd, Johnson City, TN 37601-2939 Ph: (423) 525-2375	Mr Dakota Walker, FNP-BC 400 N State Of Franklin Rd, Johnson City, TN 37604-6035 Ph: (423) 525-2375

Reviews and Comments

Nurse Practitioner Nurses in Johnson City, TN

Amber Ramsey, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615 Phone: 423-282-1480 Fax: 423-928-1353
Connie T Rutledge, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 Med Tech Pkwy Ste 240, Johnson City, TN 37604 Phone: 423-794-5520 Fax: 423-282-6940
Charity Helton, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 325 N. State Of Franklin Road, Ground Fl, Johnson City, TN 37604 Phone: 423-439-7320
Meghan Marie Hollier, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1018 Chase Dr, Johnson City, TN 37604 Phone: 423-282-3379 Fax: 423-430-6227
Michael David Smith, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3019 Peoples St # Condo300, Johnson City, TN 37604 Phone: 423-461-2100 Fax: 423-461-2199
Shelly J Mcintosh, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 301 Med Tech Pkwy, Suite 240, Johnson City, TN 37604 Phone: 423-794-5520 Fax: 423-282-0720
Miss Samantha Manuel I, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1021 W Oakland Ave, Suite 301, Johnson City, TN 37604 Phone: 423-952-8000 Fax: 423-952-8001

Mr Dakota Walker, FNP-BC - Medicare Nurse Practitioner in Johnson City, TN