Mr Walter Carl Credle Iv, PA in Boone, NC

Mr Walter Carl Credle Iv, PA is a Physician Assistant based in Boone, North Carolina. Mr Walter Carl Credle Iv is licensed to practice in North Carolina (license number 0010-10976) and his current practice location is 400 Shadowline Dr Ste 204, Boone, North Carolina. He can be reached at his office (for appointments etc.) via phone at (704) 237-4240.

NPI number for Mr Walter Carl Credle Iv is 1598363541 and his current mailing address is 400 Shadowline Dr Ste 204, Boone, North Carolina. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1598363541.

Contact Information

	Mr Walter Carl Credle Iv, PA
	400 Shadowline Dr Ste 204, Boone, NC 28607-5022
	(704) 237-4240
	(877) 847-0561

Map and Direction

Provider's Profile

Full Name	Mr Walter Carl Credle Iv
Gender	Male
Speciality	Physician Assistant
Location	400 Shadowline Dr Ste 204, Boone, North Carolina
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1598363541
Provider Enumeration Date: 10/13/2020
Last Update Date: 02/23/2026

Medical Identifiers

Medical identifiers for Mr Walter Carl Credle Iv such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598363541	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	0010-10976 (North Carolina)	Primary

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 Walter Carl Credle Iv is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Walter Carl Credle Iv, PA 400 Shadowline Dr Ste 204, Boone, NC 28607-5022 Ph: (828) 202-9765	Mr Walter Carl Credle Iv, PA 400 Shadowline Dr Ste 204, Boone, NC 28607-5022 Ph: (704) 237-4240

Reviews and Comments

Physician Assistant Nurses in Boone, NC

Mrs. Cassandra Lynn Stull, MPAS, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: Mary S Shook Student Health Services, 614 Howard St Po Office Box 32070, Boone, NC 28608 Phone: 828-262-3100 Fax: 828-262-6262
Celeste Halcomb, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 579 Greenway Rd Ste 200, Boone, NC 28607 Phone: 828-262-0100
Mrs. Anne Dixon, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 222 Longvue Dr, Boone, NC 28607 Phone: 828-355-9624 Fax: 828-355-9626
Sarah Yoder Montgomery, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 400 Shadowline Dr # 100, Boone, NC 28607 Phone: 828-263-8707
Mrs. Jennifer Vinez Slagle, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 579 Greenway Rd., Suite 200, Boone, NC 28607 Phone: 828-262-0100 Fax: 828-264-7592
Mr. James R Byrd, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 178 Highway 105 Ext Ste 201, Boone, NC 28607 Phone: 828-262-1800 Fax: 828-262-5777
Armando Jorge Guerrero, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 336 Deerfield Rd, Boone, NC 28607 Phone: 828-262-4100

Mr Walter Carl Credle Iv, PA - Physician Assistant in Boone, NC