Keonna L Walton, FNP-C - Medicare Nurse Practitioner in Nottingham, MD

Keonna L Walton, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Nottingham, Maryland. Her current practice location is 5230 Campbell Blvd, Nottingham, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 933-9680.

Keonna L Walton is licensed to practice in Maryland (license number R212503) 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 1013628049.

Contact Information

Keonna L Walton, FNP-C
5230 Campbell Blvd,
Nottingham, MD 21236-4983
(410) 933-9680
Not Available



Provider's Profile

Full NameKeonna L Walton
GenderFemale
SpecialityNurse Practitioner - Family
Location5230 Campbell Blvd, Nottingham, Maryland
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013628049
  • Provider Enumeration Date: 12/12/2022
  • Last Update Date: 11/02/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7113392564
  • Enrollment ID: I20230417001808

Medical Identifiers

Medical identifiers for Keonna L Walton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013628049NPI-NPPES
209828800MedicaidMD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family R212503 (Maryland)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. Keonna L Walton allows following entities to bill medicare on her behalf.
Entity NameMinuteclinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134191836
PECOS PAC ID: 6709850241
Enrollment ID: O20050127001141

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Entity NameTotal Health Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972597425
PECOS PAC ID: 0446258487
Enrollment ID: O20071107000802

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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. Keonna L Walton 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
Keonna L Walton, FNP-C
5230 Campbell Blvd,
Nottingham, MD 21236-4983

Ph: (410) 933-9680
Keonna L Walton, FNP-C
5230 Campbell Blvd,
Nottingham, MD 21236-4983

Ph: (410) 933-9680

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Nurse Practitioner Nurses in Nottingham, MD

Emily Niles, NP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 8114 Sandpiper Cir, Nottingham, MD 21236
Phone: 410-933-8101    
Debrahe K. Rowland, AG-ACNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4924 Campbell Blvd, Nottingham, MD 21236
Phone: 443-442-2300    
Mrs. Paula Joy Ison, PMHNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 9309 Belair Rd Ste D, Nottingham, MD 21236
Phone: 410-505-7952    
Myeisha Furr, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 9649 Belair Rd Fl 2, Nottingham, MD 21236
Phone: 410-256-9340    Fax: 410-601-1052
Emma Canto-vaught,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 8114 Sandpiper Cir Ste 100, Nottingham, MD 21236
Phone: 410-933-8101    
Mr. Carlos A Romero-escobar Jr., FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 8605 Ridgelys Choice Dr, Nottingham, MD 21236
Phone: 855-910-3278    

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