Jolan E Walter

M.D. | Pediatric Allergy-Immunology | Female

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Complete Profile:

Jolan E Walter basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Allergy/Immunology
Provider Name :	Jolan E Walter
Credential :	M.D.
Gender :	Female

Business Address:

Jolan E Walter address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	601 5th St S, Ach Outpatient Care Center St Petersburg, FL, 33701-4804 United States
Phone Number :	727-898-7451

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1467649525
NPI Entity Type :	Individual
First Enrolment Date :	02 Oct, 2007
Last Updated On :	27 Oct, 2020

Medicare Participation:

Jolan E Walter participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	5092869834
Medicare Enrollment ID :	I20160511001193
Primary Specialty :	Allergy/immunology
Medical School :	Other
Graduation Year :	2002
Accepts Medicare?	Yes. Jolan E Walter accepts medicare insurance.

Group Practice Association:

Jolan E Walter is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Jolan E Walter is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
University Medical Service Association Inc	6800790221	661	601 5th S St Saint Petersburg, FL - 337014804 Ph: 7278987451	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jolan E Walter are as mentioned. Primary taxonomy code for Jolan E Walter, M.D. is 2080P0201X (Pediatrics Pediatric Allergy/Immunology).

Taxonomy Code	Speciality	Primary	License No.	State
207K00000X	Allergy & Immunology	No	233737	MA
2080P0201X	Pediatrics Pediatric Allergy/Immunology	Yes	ME127615	FL

Legacy Identifiers:

Other legacy medical identifiers of Jolan E Walter such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
017059500	MEDICAID	FL

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	Po Box 917770 Orlando, FL, 32891-0001 United States
Phone Number :	813-974-2201
Fax Number :	813-974-2812

Business Location:

Patients can refer following map for directions to Jolan E Walter practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.