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Henry C Walther

Anesthesiology

Allopathic & Osteopathic Physicians

3315 Watt Ave, Sacramento, CA 95821-3600

PECOS Enrollment

This provider is enrolled in PECOS as HENRY WALTHER.

Based on the most recent information from CMS, provider Henry C Walther is legally eligible to order and refer claims for DME and PMD services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1346234051
Provider Type
Individual
Full Name
Walther, Henry C
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
9/8/2005
Last Updated
4/9/2013

Contact Information

Practice Location

3315 Watt Ave, Sacramento, CA 95821-3600

(916) 481-6800

(916) 481-1881

Mailing Location

PO Box 660910, Sacramento, CA 95866-0910

(916) 481-6800

(916) 481-1881

Provider Taxonomies

Code	Description	License
Code 207L00000X Primary	Description Anesthesiology Allopathic & Osteopathic Physicians	License G48310 California

Henry C Walther

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Cain, David Alan

Avila, Jorge

Moua, Hana

Haughton, Robert

Tse, Andrea Moes

Wyckaert, Cecile

Wright, Delbert Loe

Heyer, Amardeep Singh

Gull, Amy Kathleen

Atwal, Maninder Singh