Russell Walther, DDS, MD - Medicare Dentist in Tallahassee, FL

Russell Walther, DDS, MD is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Tallahassee, Florida. His current practice location is 2648 Centennial Pl, Tallahassee, Florida. You can reach out to his office (for appointments etc.) via phone at (850) 523-3000.

Russell Walther is licensed to practice in Florida (license number DN 21651) 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 1073837746.

Contact Information

Russell Walther, DDS, MD
2648 Centennial Pl,
Tallahassee, FL 32308-0572
(850) 523-3000
(850) 523-0831



Healthcare Provider's Profile

Full NameRussell Walther
GenderMale
SpecialityDentist - Oral And Maxillofacial Surgery
Location2648 Centennial Pl, Tallahassee, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073837746
  • Provider Enumeration Date: 03/24/2010
  • Last Update Date: 08/24/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 4688892151
  • Enrollment ID: I20140825001599

Medical Identifiers

Medical identifiers for Russell Walther such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073837746NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223S0112XDentist - Oral And Maxillofacial Surgery DN 21651 (Florida)Primary
1223S0112XDentist - Oral And Maxillofacial Surgery ME 126426 (Florida)Secondary

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. Russell Walther 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
Russell Walther, DDS, MD
2648 Centennial Pl,
Tallahassee, FL 32308-0572

Ph: (850) 523-3000
Russell Walther, DDS, MD
2648 Centennial Pl,
Tallahassee, FL 32308-0572

Ph: (850) 523-3000

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Dentist in Tallahassee, FL

Dr. Reza Michael Barry, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 3051 Highland Oaks Ter, Suite 4, Tallahassee, FL 32301
Phone: 850-656-3917    
George M Jusu, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 3120 Mahan Drive, Tallahassee, FL 32308
Phone: 217-540-8386    
Dr. Bruce Arthur Woodruff, D.M.D.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2880 Capital Medical Blvd, Suite 1, Tallahassee, FL 32308
Phone: 850-309-0095    
Dr. Ronald Gordan Willis Jr., DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2470 Care Dr, Tallahassee, FL 32308
Phone: 850-877-5151    
Dr. Walter E. Colon Ii, D.M.D.,M.S.DIPLOMATE
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1614 W Plaza Dr, Tallahassee, FL 32308
Phone: 850-562-6111    Fax: 850-562-7263
Dr. Marion Samuel Cooper, D.M.D.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2027 Thomasville Rd, Suite 101, Tallahassee, FL 32308
Phone: 850-385-0231    Fax: 850-385-9230
Dr. Michael Clifford Hartley, D.M.D.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1305 Thomaswood Dr, Tallahassee, FL 32308
Phone: 850-386-2400    Fax: 850-386-8181

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