Kelsey Danielle Walts, - Medicare Advanced Practice Midwife in San Angelo, TX

Kelsey Danielle Walts, is a medicare enrolled "Advanced Practice Midwife" in San Angelo, Texas. Her current practice location is 3501 Knickerbocker Rd, San Angelo, Texas. You can reach out to her office (for appointments etc.) via phone at (325) 747-3408.

Kelsey Danielle Walts is licensed to practice in Texas (license number 1096036) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1053036673.

Contact Information

Kelsey Danielle Walts,
3501 Knickerbocker Rd,
San Angelo, TX 76904-7610
(325) 747-3408
(325) 747-2525



Provider's Profile

Full NameKelsey Danielle Walts
GenderFemale
SpecialityAdvanced Practice Midwife
Location3501 Knickerbocker Rd, San Angelo, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053036673
  • Provider Enumeration Date: 10/06/2022
  • Last Update Date: 10/06/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6103296462
  • Enrollment ID: I20221230001822

Medical Identifiers

Medical identifiers for Kelsey Danielle Walts such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053036673NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife 1096036 (Texas)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. Kelsey Danielle Walts allows following entities to bill medicare on her behalf.
Entity NameShannon Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770587149
PECOS PAC ID: 0840103727
Enrollment ID: O20031222000702

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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. Kelsey Danielle Walts 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
Kelsey Danielle Walts,
Po Box 22000,
San Angelo, TX 76902-7200

Ph: (325) 747-3408
Kelsey Danielle Walts,
3501 Knickerbocker Rd,
San Angelo, TX 76904-7610

Ph: (325) 747-3408

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Advanced Practice Midwife Nurses in San Angelo, TX

Cynthia Stokes, RN, MSN, CNM
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 1610 S Chadbourne St, San Angelo, TX 76903
Phone: 325-658-5339    Fax: 325-659-8534
Christina Arp, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 220 E. Harris, San Angelo, TX 76903
Phone: 325-481-2285    Fax: 325-481-2056
Opal L Smith, CNM
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 220 E. Harris, San Angelo, TX 76903
Phone: 325-658-1511    

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