Russell Walters, PA-C - Medicare Physician Assistant in Jefferson City, TN

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Russell Walters, PA-C is a medicare enrolled "Physician Assistant" in Jefferson City, Tennessee. His current practice location is 110 Hospital Dr, Jefferson City, Tennessee. You can reach out to his office (for appointments etc.) via phone at (865) 471-2300.

Russell Walters is licensed to practice in Tennessee (license number 2489) 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 1952724403.

Contact Information

Russell Walters, PA-C
110 Hospital Dr,
Jefferson City, TN 37760-5281
(865) 471-2300
(865) 471-2463

Map and Direction




Provider's Profile

Full NameRussell Walters
GenderMale
SpecialityPhysician Assistant
Location110 Hospital Dr, Jefferson City, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1952724403
  • Provider Enumeration Date: 02/03/2014
  • Last Update Date: 11/01/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7315160397
  • Enrollment ID: I20140520001031

Medical Identifiers

Medical identifiers for Russell Walters such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952724403NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (Not Available))Secondary
363A00000XPhysician Assistant 2489 (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. Russell Walters allows following entities to bill medicare on his behalf.
Entity NameSoutheastern Emergency Services P C
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669414264
PECOS PAC ID: 6204730195
Enrollment ID: O20031121000687
Entity NameSoutheastern Emergency Physicians LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356379382
PECOS PAC ID: 2466364997
Enrollment ID: O20050125000997
Entity NameSoutheastern Physician Services PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083835441
PECOS PAC ID: 0042307852
Enrollment ID: O20071025000571
Entity NameApp of Tennessee Ed PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003230236
PECOS PAC ID: 8123251766
Enrollment ID: O20140506000159
Entity NameTennessee River Physicians, PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396282463
PECOS PAC ID: 8022387349
Enrollment ID: O20170629002555

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. Russell 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 AddressPractice Location Address
Russell Walters, PA-C
1431 Centerpoint Blvd, Suite 100,
Knoxville, TN 37932-1984

Ph: (865) 985-7012		Russell Walters, PA-C
110 Hospital Dr,
Jefferson City, TN 37760-5281

Ph: (865) 471-2300

Reviews and Comments


Physician Assistant Nurses in Jefferson City, TN

Aaron C. Harris, PA
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Practice Location: 120 Hospital Dr, Suite 130, Jefferson City, TN 37760
Phone: 865-474-4742    Fax: 865-262-0100
Haley Lawson,
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Practice Location: 120 Hospital Dr Ste 100, Jefferson City, TN 37760
Phone: 865-647-1876    Fax: 865-471-2246
Lindsey Ann Clyde, PA-C
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Phone: 865-475-4742    
David M Beauchamp,
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Practice Location: 336 W Old Andrew Johnson Hwy, Jefferson City, TN 37760
Phone: 865-475-6097    
Rebecca L Sexton, PA
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Mrs. Sarah E. Chapman, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 120 Hospital Dr Ste 130, Jefferson City, TN 37760
Phone: 865-475-4247    
Amber Hill, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 277 E Broadway Blvd, Jefferson City, TN 37760
Phone: 865-262-9294    Fax: 865-262-9295

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.