Shelly D Walters, MD - Medicare Family Practice in Ada, OK

Shelly D Walters, MD is a medicare enrolled "Family Medicine" physician in Ada, Oklahoma. She graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Chickasaw Nation Division Of Health and her current practice location is 1921 Stonecipher Dr, Ada, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (580) 436-3980.

Shelly D Walters is licensed to practice in Oklahoma (license number 38491) 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 1386078418.

Contact Information

Shelly D Walters, MD
1921 Stonecipher Dr,
Ada, OK 74820-3439
(580) 436-3980
Not Available



Physician's Profile

Full NameShelly D Walters
GenderFemale
SpecialityFamily Practice
Experience11 Years
Location1921 Stonecipher Dr, Ada, Oklahoma
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shelly D Walters graduated from medical school in 2013
  NPI Data:
  • NPI Number: 1386078418
  • Provider Enumeration Date: 08/26/2013
  • Last Update Date: 07/23/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5597984583
  • Enrollment ID: I20210816001191

Medical Identifiers

Medical identifiers for Shelly D Walters such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386078418NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine ML60390210 (Washington)Secondary
207Q00000XFamily Medicine M-15041 (Idaho)Secondary
207Q00000XFamily Medicine 38491 (Oklahoma)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Chickasaw Nation Medical CenterAda, OKHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Chickasaw Nation Division Of Health8426957523209

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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. Shelly D Walters allows following entities to bill medicare on her behalf.
Entity NameChickasaw Nation Division Of Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255364923
PECOS PAC ID: 8426957523
Enrollment ID: O20040108000364

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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. Shelly D 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 AddressPractice Location Address
Shelly D Walters, MD
301 Cedar St,
Orofino, ID 83544-9029

Ph: (208) 476-4555
Shelly D Walters, MD
1921 Stonecipher Dr,
Ada, OK 74820-3439

Ph: (580) 436-3980

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Family Medicine Doctors in Ada, OK

David Frow, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1921 Stonecipher Dr, Ada, OK 74820
Phone: 580-436-3980    Fax: 580-421-6283
Dr. Joshua Priddle, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 905 Colony Dr, Ada, OK 74820
Phone: 580-436-5111    Fax: 580-436-1159
Dr. Joanne Chinnici, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2513 Timber Ter, Ada, OK 74820
Phone: 580-399-7716    
Marc J Davis, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 530 N Monte Vista St, Suite A, Ada, OK 74820
Phone: 580-310-9510    Fax: 580-436-4447
Curtis E Harris, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 905 Colony Dr, Ada, OK 74820
Phone: 580-436-5111    Fax: 580-436-1159
Patrick Mason, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1921 Stonecipher Boulevard, Ada, OK 74820
Phone: 580-421-4570    Fax: 580-421-6286
Patrick J O'neill, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1150 North Hills Centre, Ada, OK 74820
Phone: 580-332-8606    Fax: 580-332-8616

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