Mrs Renae Michelle Walton, FNP in Charlotte, NC

Mrs Renae Michelle Walton, FNP is a medicare enrolled "Nurse Practitioner - Primary Care" in Charlotte, North Carolina. Her current practice location is 1213 W Morehead St Fl 5, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (980) 780-2307.

Mrs Renae Michelle Walton is licensed to practice in North Carolina (license number 5004002) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1639378706.

Contact Information

	Mrs Renae Michelle Walton, FNP
	1213 W Morehead St Fl 5, Charlotte, NC 28208-5576
	(980) 780-2307
	(980) 780-2308

Map and Direction

Provider's Profile

Full Name	Mrs Renae Michelle Walton
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	1213 W Morehead St Fl 5, Charlotte, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639378706
Provider Enumeration Date: 07/17/2007
Last Update Date: 09/04/2025

Medicare PECOS Information:

PECOS PAC ID: 1951470624
Enrollment ID: I20080725000413

Medical Identifiers

Medical identifiers for Mrs Renae Michelle Walton such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639378706	NPI	-	NPPES
2593282	Other	NC	MEDICARE INDIVIDUAL NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	5004002 (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. Mrs Renae Michelle Walton allows following entities to bill medicare on her behalf.

Entity Name	Bliss Home Based Primary Medical Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699428607 PECOS PAC ID: 7012399579 Enrollment ID: O20220729002141

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. Mrs Renae Michelle Walton 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
Mrs Renae Michelle Walton, FNP 1213 W Morehead St Fl 5, Charlotte, NC 28208-5576 Ph: (980) 780-2307	Mrs Renae Michelle Walton, FNP 1213 W Morehead St Fl 5, Charlotte, NC 28208-5576 Ph: (980) 780-2307

Reviews and Comments

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Mrs Renae Michelle Walton, FNP - Medicare Nurse Practitioner in Charlotte, NC