Walter Frizzell Fletcher, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25879 Issued in TN

Practice address

117 Kennedy Dr
Martin, TN 38237-3309

Phone

(731) 587-9511

Fax

(731) 587-0785

NPI assigned

Oct 27, 2005

Last updated

Jun 12, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 7

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: Emergency Medicine

Education

University of Tennessee, HSC, College of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lexington Clinic CorpGroup PAC ID 2466468558, 23 clinicians

Lexington Hospital CorporationGroup PAC ID 7719896414, 28 clinicians

Emergency Medical Care Facilities PCGroup PAC ID 6103837877, 57 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Volunteer Community Hospital Hospital, Martin, TN, CCN 440061
• Jackson-Madison County General Hospital Hospital, Jackson, TN, CCN 440002
• West Tennessee Healthcare Milan Hospital Hospital, Milan, TN, CCN 440060
• West Tennessee Healthcare Bolivar Hospital Hospital, Bolivar, TN, CCN 441320
• West Tennessee Healthcare Camden Hospital Hospital, Camden, TN, CCN 441316

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/henders-823c208a

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Emergency Medical Care Facilities PC

  • Emergency Medicine Physician
  • Jackson, TN
  • NPI 1538345855
  Medicare reassignment Care Compare group NPD
• Lexington Clinic Corp

  • Family Medicine Physician
  • Lexington, TN
  • NPI 1780652107

  Emergency Medicine

  Medicare reassignment Care Compare group NPD
• Lexington Hospital Corporation

  • Emergency Medicine Physician
  • Lexington, TN
  • NPI 1083809669
  Medicare reassignment Care Compare group NPD
• Haywood County Community Hospital, Inc

  • Emergency Medicine Physician
  • Brownsville, TN
  • NPI 1790444933
  Medicare reassignment NPD
• Lexington Family Physicians LLC

  • Family Medicine Physician
  • Lexington, TN
  • NPI 1265660708
  Medicare reassignment NPD
• Shamrock Community Hospital Inc

  dba Shamrock Community Hospital Medical Group

  • Family Medicine Physician
  • Erin, TN
  • NPI 1033878277

  Emergency Medicine

  Medicare reassignment NPD
• Shamrock Community Hospital Inc

  dba Houston County Community Hospital

  • Critical Access Hospital
  • Erin, TN
  • NPI 1811566540
  Medicare reassignment NPD
• West Tennessee Medical Group Inc

  • Internal Medicine Physician
  • Jackson, TN
  • NPI 1053615955

  Family Medicine

  Medicare reassignment NPD
• Emergency Coverage, LLC

  dba Emergency Coverage Corporation of TeamHealth

  • Family Medicine Physician
  • Newport, TN
  • NPI 1427005008
  Medicare reassignment
• Perry County Community Hospital Inc

  • Critical Access Hospital
  • Linden, TN
  • NPI 1528890480
  Medicare reassignment
• Haywood County Community Hospital Inc

  • Medicare Defined Swing Bed Hospital Unit
  • Brownsville, TN
  • NPI 1174233225
  NPD
• Lexington Hospital Corporation

  dba Henderson County Community Pharmacy

  • Clinic Pharmacy
  • Lexington, TN
  • NPI 1033888649
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bolivar General Hospital, Inc.

  dba West Tennessee Healthcare Bolivar Hospital

  • Critical Access Hospital
  • Bolivar, TN
  • NPI 1518957950
  Care Compare affiliation
• Camden General Hospital, Inc.

  dba West Tennessee Healthcare Camden Hospital

  • Critical Access Hospital
  • Camden, TN
  • NPI 1659347920
  Care Compare affiliation
• Jackson Madison County General Hospital

  • General Acute Care Hospital
  • Jackson, TN
  • NPI 1093705428
  Care Compare affiliation
• Martin Health

  dba West Tennessee Healthcare Volunteer Hospital

  • General Acute Care Hospital
  • Martin, TN
  • NPI 1275505372
  Care Compare affiliation
• Milan General Hospital, Inc.

  dba West Tennessee Healthcare Milan Hospital

  • General Acute Care Hospital
  • Milan, TN
  • NPI 1699765453
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1043200280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 W 4TH ST",
            "city": "WATERLOO",
            "state": "IL",
            "postal_code": "622981378",
            "telephone_number": "877-748-7030",
            "fax_number": "877-264-9140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 KENNEDY DR",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382373309",
            "telephone_number": "731-587-9511",
            "fax_number": "731-587-0785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "WALTER",
        "middle_name": "FRIZZELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "25879",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "25879",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "25879",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "25879",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TN",
            "license": "25879",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "25879",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "25879",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD",
            "identifier": "4173958",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "30848602",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00034971",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "JT1036",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30848602",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jacquelyn L Flanders, RN, SNM, SWHNP
• Ronald Earl Foley, D.D.S.
• Gary Clinton Foster, AGACNP-BC
• Lorrie Ann Frazier, OTR
• Anne M Fritcher, PA
• Carolyn Diana Fulcher, LCSW

• Family Medicine Physician in Martin, TN
• Providers in Martin, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.