Dr Staci Renee Walters, OD in Melbourne, FL - Medicare Optometry Provider

Dr Staci Renee Walters, OD is a medicare enrolled "Optometrist" provider in Melbourne, Florida. She went to Pacific University - College Of Optometry and graduated in 2003 and has 22 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Space Coast Ophthalmology Llc and her current practice location is 665 S Apollo Blvd, Melbourne, Florida. You can reach out to her office (for appointments etc.) via phone at (321) 984-3200.

Dr Staci Renee Walters is licensed to practice in Florida (license number 4395) 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 1417173832.

Contact Information

	Dr Staci Renee Walters, OD
	665 S Apollo Blvd, Melbourne, FL 32901-1485
	(321) 984-3200
	(321) 984-0032

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Staci Renee Walters
Gender	Female
Speciality	Optometry
Experience	22 Years
Location	665 S Apollo Blvd, Melbourne, Florida
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:

Dr Staci Renee Walters attended and graduated from Pacific University - College Of Optometry in 2003

NPI Data:

NPI Number: 1417173832
Provider Enumeration Date: 04/17/2007
Last Update Date: 02/23/2018

Medicare PECOS Information:

PECOS PAC ID: 9739128273
Enrollment ID: I20110920000579

Medical Identifiers

Medical identifiers for Dr Staci Renee Walters such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417173832	NPI	-	NPPES
053998005	Other	FL	DEMERC PB
190CM	Other	FL	BCBS
053998004	Other	FL	DEMERC ST
053998002	Other	FL	DEMERC AP
053998003	Other	FL	DEMERC NC
003325900	Medicaid	FL
0539980006	Other	FL	DEMERC TV

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	4395 (Florida)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Space Coast Ophthalmology Llc	4688950611	3

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. Dr Staci Renee Walters allows following entities to bill medicare on her behalf.

Provider Name	Space Coast Ophthalmology Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1962954107 PECOS PAC ID: 4688950611 Enrollment ID: O20170406000037

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. Dr Staci Renee 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
Dr Staci Renee Walters, OD 665 S Apollo Blvd, Melbourne, FL 32901-1485 Ph: (321) 984-3200	Dr Staci Renee Walters, OD 665 S Apollo Blvd, Melbourne, FL 32901-1485 Ph: (321) 984-3200

Reviews and Comments

Optometrist in Melbourne, FL

Paul G Rousseau Od Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5455 Murrell Road, Suite 107, Melbourne, FL 32955 Phone: 321-636-1972 Fax: 321-636-1507
Dr. Ronda Rena Morreale, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1950 N Wickham Rd, Melbourne, FL 32935 Phone: 321-752-5454 Fax: 321-752-5405
Jacqueline Eliza Zermeno, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3200 N Wickham Rd, Ste 1, Melbourne, FL 32935 Phone: 321-253-3550 Fax: 321-253-3591
Ericka Michelle Lopez, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4100 N Wickham Rd Ste 120, Melbourne, FL 32935 Phone: 321-701-6072
Kha Phan Duong, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 278 N Wickham Rd, Melbourne, FL 32935 Phone: 321-253-9228
Michelle M Hebert, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7775 N Wickham Rd, Melbourne, FL 32940 Phone: 321-984-3200
Pamela Heiple, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1700 W New Haven Ave, Jcpenney Optical, Melbourne, FL 32904 Phone: 321-727-8807 Fax: 321-676-1541

Dr Staci Renee Walters, OD - Medicare Optometrist in Melbourne, FL