Todd W Walter, APRN, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Pine Island, Minnesota. His current practice location is
17189 Co 27 Blvd, Pine Island, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(507) 356-8323.
Todd W Walter is licensed to practice in Minnesota (license number 58) 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 1467428433.
Provider's Profile
| Full Name | Todd W Walter |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 17189 Co 27 Blvd, Pine Island, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1467428433
- Provider Enumeration Date: 02/28/2006
- Last Update Date: 12/12/2023
Medicare PECOS Information:
- PECOS PAC ID: 3375519077
- Enrollment ID: I20041108000856
Medical Identifiers
Medical identifiers for Todd W Walter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1467428433 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163W00000X | Registered Nurse | R1141722 (Minnesota) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 58 (Minnesota) | 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. Todd W Walter allows following entities to bill medicare on his behalf.
| Entity Name | Gundersen Lutheran Medical Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225873458 PECOS PAC ID: 2163331414 Enrollment ID: O20130619000254 |
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| Entity Name | Mchs Hospitals Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093221434 PECOS PAC ID: 5698071173 Enrollment ID: O20180208000096 |
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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. Todd W Walter 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 |
Todd W Walter, APRN, CRNA 17189 Co 27 Blvd, Pine Island, MN 55963 Ph: (507) 261-3391 | Todd W Walter, APRN, CRNA 17189 Co 27 Blvd, Pine Island, MN 55963 Ph: (507) 356-8323 |
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