Ms Mariam Seda Walters, PA-C in Pomona, CA - Medicare Physician Assistant

Ms Mariam Seda Walters, PA-C is a medicare enrolled "Physician Assistant" in Pomona, California. Her current practice location is 1798 N Garey Ave, Pomona, California. You can reach out to her office (for appointments etc.) via phone at (909) 865-9828.

Ms Mariam Seda Walters is licensed to practice in California (license number PA21183) 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 1699083675.

Contact Information

	Ms Mariam Seda Walters, PA-C
	1798 N Garey Ave, Pomona, CA 91767-2918
	(909) 865-9828
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Mariam Seda Walters
Gender	Female
Speciality	Physician Assistant
Location	1798 N Garey Ave, Pomona, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699083675
Provider Enumeration Date: 09/23/2010
Last Update Date: 02/01/2022

Medicare PECOS Information:

PECOS PAC ID: 1254520174
Enrollment ID: I20110107000669

Medical Identifiers

Medical identifiers for Ms Mariam Seda Walters such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699083675	NPI	-	NPPES
PA21183	Other	CA	CALIFORNIA LICENSE NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA21183 (California)	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. Ms Mariam Seda Walters 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
Ms Mariam Seda Walters, PA-C 10855 Terra Vista Pkwy, Apt 111, Rancho Cucamonga, CA 91730-6381 Ph: (310) 729-6373	Ms Mariam Seda Walters, PA-C 1798 N Garey Ave, Pomona, CA 91767-2918 Ph: (909) 865-9828

Reviews and Comments

Physician Assistant Nurses in Pomona, CA

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Mia Curtis, Physician Assistant Medicare: Medicare Enrolled Practice Location: 309 E 2nd St, Pomona, CA 91766 Phone: 909-623-6116

Ms Mariam Seda Walters, PA-C - Medicare Physician Assistant in Pomona, CA