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Mary Ann Walter

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

4724 N Davis Hwy, Pensacola, FL 32503-2339

PECOS Enrollment

This provider is enrolled in PECOS as MARY WALTER.

Based on the most recent information from CMS, provider Mary Ann Walter is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1881370971
Provider Type
Individual
Full Name
Walter, Mary Ann
Credential
APRN

Gender
Female
Sole Proprietor
No
Enumeration Date
6/23/2023
Last Updated
3/5/2024

Contact Information

Practice Location

4724 N Davis Hwy, Pensacola, FL 32503-2339

(850) 696-4000

Unlisted Fax

Mailing Location

4724 N Davis Hwy, Pensacola, FL 32503-2339

(850) 696-4000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License APRN11026770 Florida

Mary Ann Walter

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Greskovich, Carla

Vanhousen, April E

Chastain, Amy

Weaver, Kaitlyn

Maloy, Velvet C

Ncube, Itumeleng M

Angle, Virginia Lorraine

Tolbert, Sean Ashley

Pereira, Wendy Su

Jacobus, Dawn Starr