Dr Clarence William Walker, PHD - Medicare Psychologist in New London, MN

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Dr Clarence William Walker, PHD is a medicare enrolled "Psychologist" provider in New London, Minnesota. His current practice location is 17 Ash Street, N.e, Post Office Box 92, New London, Minnesota. You can reach out to his office (for appointments etc.) via phone at (320) 354-4489.

Dr Clarence William Walker is licensed to practice in Minnesota (license number LP0123) 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 1053481069.

Contact Information

Dr Clarence William Walker, PHD
17 Ash Street, N.e, Post Office Box 92,
New London, MN 56273
(320) 354-4489
(320) 354-4490

Map and Direction




Healthcare Provider's Profile

Full NameDr Clarence William Walker
GenderMale
SpecialityPsychologist
Location17 Ash Street, N.e, New London, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053481069
  • Provider Enumeration Date: 11/08/2006
  • Last Update Date: 12/30/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 0840473674
  • Enrollment ID: I20110331000552

Medical Identifiers

Medical identifiers for Dr Clarence William Walker such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053481069NPI-NPPES
843748300MedicaidMN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist C1083 (Minnesota)Secondary
103T00000XPsychologist LP0321 (Minnesota)Secondary
104100000XSocial Worker LICSW06609 (Minnesota)Secondary
103T00000XPsychologist LP0123 (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. Dr Clarence William Walker allows following entities to bill medicare on his behalf.
Entity NameInterventional Pain & Physical Medicine Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013056969
PECOS PAC ID: 3375439953
Enrollment ID: O20040223000665
Entity NameKnutson Counseling & Seminars, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568784668
PECOS PAC ID: 6800925157
Enrollment ID: O20100525000096

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 Clarence William Walker 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
Dr Clarence William Walker, PHD
128 Pine St., Nw, C. William Walker, Ph.d.,
New London, MN 56273

Ph: (320) 354-4489		Dr Clarence William Walker, PHD
17 Ash Street, N.e, Post Office Box 92,
New London, MN 56273

Ph: (320) 354-4489

Reviews and Comments


Psychologist in New London, MN


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.