OrganizationWalz Family Medicine, P.S.CFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address1000 Ashland Dr, Suite 105, Ashland, KY 41101-7084(606) 327-0077PECOS EnrollmentBased on the most recent information from CMS, provider Walz Family Medicine, P.S.C does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 8 days ago.Profile DetailsProvider ID1245251271Provider TypeOrganizationFull NameWalz Family Medicine, P.S.CSubpartNoEnumeration Date7/23/2006Last Updated3/19/2008Contact InformationPractice LocationPractice Address1000 Ashland Dr, Suite 105, Ashland, KY 41101-7084Phone(606) 327-0077Fax(606) 833-9453Mailing LocationMailing AddressPO Box 936, Flatwoods, KY 41139-0936Phone(606) 327-0077Fax(606) 833-9453Authorized OfficialNameWalz, Jon H. (Physician)Phone(606) 327-0077Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense02629KentuckyProvider IdentifiersIDDescriptionIssuerID64990468DescriptionMedicaidIssuerUnlistedKentucky