Traci Walters, PA-C - Medicare Physician Assistant in Tinley Park, IL

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Traci Walters, PA-C is a medicare enrolled "Physician Assistant" in Tinley Park, Illinois. She graduated from nursing school in 2014 and has 12 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Dupage Medical Group Ltd and her current practice location is 17495 La Grange Rd, Tinley Park, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 226-7173.

Traci Walters is licensed to practice in Illinois (license number 085.005340) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1134519465.

Contact Information

Traci Walters, PA-C
17495 La Grange Rd,
Tinley Park, IL 60487-7581
(708) 226-7173
(708) 226-7000

Map and Direction




Provider's Profile

Full NameTraci Walters
GenderFemale
SpecialityPhysician Assistant
Experience12 Years
Location17495 La Grange Rd, Tinley Park, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Traci Walters graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1134519465
  • Provider Enumeration Date: 01/26/2015
  • Last Update Date: 05/30/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3577884089
  • Enrollment ID: I20150610000037

Medical Identifiers

Medical identifiers for Traci Walters such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134519465NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 085.005340 (Illinois)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Dupage Medical Group Ltd54966679411326

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. Traci Walters allows following entities to bill medicare on her behalf.
Entity NameDupage Medical Group Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801833983
PECOS PAC ID: 5496667941
Enrollment ID: O20031110000348
Entity NameIllinois Dermatology Institute, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891920898
PECOS PAC ID: 7911043054
Enrollment ID: O20091005000156
Entity NameBasko Dermatology, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245716042
PECOS PAC ID: 2769733310
Enrollment ID: O20180921000343

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. Traci 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
Traci Walters, PA-C
Pob 7132960,
Chicago, IL 60677-0001

Ph: (630) 469-9200		Traci Walters, PA-C
17495 La Grange Rd,
Tinley Park, IL 60487-7581

Ph: (708) 226-7173

Reviews and Comments


Physician Assistant Nurses in Tinley Park, IL

Jaclyn L Mis, PAC
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Practice Location: 17495 La Grange Rd, Tinley Park, IL 60487
Phone: 815-416-6641    
Hannah Grace Henrichsen, PA-C
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Mary Kate Mineman, PA-C
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Practice Location: 18425 West Creek Dr, Stef, Tinley Park, IL 60477
Phone: 708-209-6783    
Omar Abdallah,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 8542 Steeple Dr, Tinley Park, IL 60487
Phone: 708-262-4465    
Ishani Patel, PA
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Medicare: Accepting Medicare Assignments
Practice Location: 17495 La Grange Rd, Tinley Park, IL 60487
Phone: 708-226-7000    Fax: 708-226-7174
Stephanie Huang, PA-C
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Medicare: Not Enrolled in Medicare
Practice Location: 7151 183rd St, Tinley Park, IL 60477
Phone: 708-478-3530    

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.