Mr Walter Montgomery Wootton, PA-C - Medicare Physician Assistant in Vernal, UT

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Mr Walter Montgomery Wootton, PA-C is a medicare enrolled "Physician Assistant" in Vernal, Utah. He graduated from nursing school in 2013 and has 13 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Uintah Basin Medical Center, Utah Regional Hospitalists Llc and his current practice location is 379 N 500 W, Vernal, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 789-1165.

Mr Walter Montgomery Wootton is licensed to practice in Utah (license number 8802245-1206) 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 1891121661.

Contact Information

Mr Walter Montgomery Wootton, PA-C
379 N 500 W,
Vernal, UT 84078-1956
(435) 789-1165
Not Available

Map and Direction




Provider's Profile

Full NameMr Walter Montgomery Wootton
GenderMale
SpecialityPhysician Assistant
Experience13 Years
Location379 N 500 W, Vernal, Utah
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Walter Montgomery Wootton graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1891121661
  • Provider Enumeration Date: 09/24/2013
  • Last Update Date: 01/16/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 3173759271
  • Enrollment ID: I20131120000418

Medical Identifiers

Medical identifiers for Mr Walter Montgomery Wootton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891121661NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 8802245-1206 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Uintah Basin Medical CenterRoosevelt, UTHospital
Lakeview HospitalBountiful, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Uintah Basin Medical Center024413194462
Utah Regional Hospitalists Llc4789807165119

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 Walter Montgomery Wootton allows following entities to bill medicare on his behalf.
Entity NameUintah Basin Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871556217
PECOS PAC ID: 0244131944
Enrollment ID: O20040226000948
Entity NameNortheastern Utah Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982664199
PECOS PAC ID: 2961496609
Enrollment ID: O20040414000471
Entity NameUtah Regional Hospitalists LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962821223
PECOS PAC ID: 4789807165
Enrollment ID: O20140604000236

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 Montgomery Wootton 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 AddressPractice Location Address
Mr Walter Montgomery Wootton, PA-C
210 W 300 N, # 75-3,
Roosevelt, UT 84066-2336

Ph: (435) 725-7448		Mr Walter Montgomery Wootton, PA-C
379 N 500 W,
Vernal, UT 84078-1956

Ph: (435) 789-1165

Reviews and Comments


Physician Assistant Nurses in Vernal, UT

Julie Lynette Lyman, PA-C
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Phone: 435-789-7337    Fax: 435-789-7338
Joe Porter, P.A.
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Practice Location: 872 W Highway 40, Vernal, UT 84078
Phone: 435-789-6677    Fax: 435-789-6677
Kinsey Reynolds, MS, PA-C
Physician Assistant
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Practice Location: 379 N 500 W, Vernal, UT 84078
Phone: 435-789-1165    
Derek Potter, P.A.
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Practice Location: 379 N 500 W, Suite 1a, Vernal, UT 84078
Phone: 435-789-1165    Fax: 435-789-1169
Mr. Stanley Scott Anderson, PA
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Practice Location: 475 N 500 W, Vernal, UT 84078
Phone: 435-781-6634    
Michael Wilson, P.A.
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Medicare: Accepting Medicare Assignments
Practice Location: 872 W Highway 40, Vernal, UT 84078
Phone: 435-789-6677    Fax: 435-789-6678
Cameron Phillip Hardy, P.A.C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 872 W Highway 40, Vernal, UT 84078
Phone: 435-781-8899    Fax: 435-781-8898

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.