Robert Walley, - Medicare Critical Care (intensivists) in Hattiesburg, MS

Robert Walley, is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Hattiesburg, Mississippi. He went to William Carey University College Of Osteopathic Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Critical Care (intensivists). He is a member of the group practice Hattiesburg Clinic, Pa and his current practice location is 415 S 28th Ave, Hattiesburg, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 268-5650.

Robert Walley is licensed to practice in Mississippi (license number 30801) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1588047567.

Contact Information

Robert Walley,
415 S 28th Ave,
Hattiesburg, MS 39401-7246
(601) 268-5650
(601) 579-5240



Physician's Profile

Full NameRobert Walley
GenderMale
SpecialityCritical Care (intensivists)
Experience9 Years
Location415 S 28th Ave, Hattiesburg, Mississippi
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Robert Walley attended and graduated from William Carey University College Of Osteopathic Medicine in 2015
  NPI Data:
  • NPI Number: 1588047567
  • Provider Enumeration Date: 07/08/2015
  • Last Update Date: 01/05/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3274944632
  • Enrollment ID: I20221117002206

Medical Identifiers

Medical identifiers for Robert Walley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588047567NPI-NPPES
1J2146OtherTXMEDICARE
417472401MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RP1001XInternal Medicine - Pulmonary Disease S8672 (Texas)Secondary
207RC0200XInternal Medicine - Critical Care Medicine 30801 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Forrest General HospitalHattiesburg, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hattiesburg Clinic, Pa5193706794489

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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. Robert Walley allows following entities to bill medicare on his behalf.
Entity NameHattiesburg Clinic Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740213446
PECOS PAC ID: 5193706794
Enrollment ID: O20040528000685

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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. Robert Walley 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
Robert Walley,
415 S 28th Ave,
Hattiesburg, MS 39401-7246

Ph: (601) 268-5650
Robert Walley,
415 S 28th Ave,
Hattiesburg, MS 39401-7246

Ph: (601) 268-5650

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Internal Medicine Doctors in Hattiesburg, MS

Laurie Evans Douglas, MD
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 301 S 28th Ave, Hattiesburg, MS 39401
Phone: 601-261-1700    Fax: 601-288-8290
Dr. Charles Ramsey Mccollum Iii, M.D.
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401
Phone: 601-268-5650    Fax: 601-579-5212
Porter Hudson Glover, M.D.
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401
Phone: 601-268-5680    Fax: 601-268-5778
Alex Gauthier,
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5001 Hardy St, Hattiesburg, MS 39402
Phone: 601-268-8000    
Grettel Rodriguez Garcia,
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 31 Woodstone Dr, Hattiesburg, MS 39402
Phone: 347-342-2441    
Ms. Manal Mohammad Abdur Rahman, M.D.
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7 Medical Blvd, Hattiesburg, MS 39401
Phone: 601-296-2990    Fax: 601-296-2860
Dr. Vashishtha Patel, DO
Critical Care Medicine
Medicare: Medicare Enrolled
Practice Location: 5001 Hardy St, Hattiesburg, MS 39402
Phone: 704-733-7499    

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