Traci Walters, PA-C in La Grange, IL - Medicare Physician Assistant

Traci Walters, PA-C is a medicare enrolled "Physician Assistant" in La Grange, Illinois. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Illinois Dermatology Institute Llc and her current practice location is 1415 W 47th St, La Grange, Illinois. You can reach out to her office (for appointments etc.) via phone at (219) 878-5050.

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
	1415 W 47th St, La Grange, IL 60525-6136
	(219) 878-5050
	Not Available

Map and Direction

Provider's Profile

Full Name	Traci Walters
Gender	Female
Speciality	Physician Assistant
Experience	10 Years
Location	1415 W 47th St, La Grange, Illinois
Accepts Medicare Assignments	Yes. 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: 04/13/2021

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.

Identifier	Type	State	Issuer
1134519465	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(* (Not Available))	Secondary
363A00000X	Physician Assistant	085.005340 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Illinois Dermatology Institute Llc	7911043054	50

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 Address	Practice Location Address
Traci Walters, PA-C 1415 W 47th St, La Grange, IL 60525-6136 Ph: (219) 878-5050	Traci Walters, PA-C 1415 W 47th St, La Grange, IL 60525-6136 Ph: (219) 878-5050

Reviews and Comments

Physician Assistant Nurses in La Grange, IL

Karen Fu, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 31 E Ogden Ave Unit 118, La Grange, IL 60525 Phone: 720-470-6427
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Richard A Disanto, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5201 Willow Springs Rd, La Grange, IL 60525 Phone: 708-579-0018 Fax: 708-579-7571
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Ms. Samantha Marie Boburka, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 110 W Calendar Ave, La Grange, IL 60525 Phone: 708-745-5277 Fax: 708-579-2408
Alexandra Trevino, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 110 W Calendar Ave, La Grange, IL 60525 Phone: 708-745-5277

Traci Walters, PA-C - Medicare Physician Assistant in La Grange, IL