ALICE AILEEN WALZ MD
NPI 1760774186
Pediatrics - Pediatric Critical Care Medicine in Charleston, SC

Active since May 03, 2011PECOS EnrolledAccepts Medicare Assignment
171 ASHLEY AVE, CHARLESTON, SC 29425(843) 792-2618 Get Directions Write a Review

NPPES record last updated: October 20, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 20, 2020, Jul 17, 2018, Jun 25, 2018 (3 updates tracked since 2018).

About Alice Aileen Walz Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALICE AILEEN WALZ MD (NPI 1760774186) is an individual pediatric critical care medicine provider in Charleston, South Carolina, licensed in South Carolina (52533) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS and is a graduate of Jc Edwards School Of Medicine, Marshall University (2011).

NPPES Registry Identity

NPI1760774186
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameALICE AILEEN WALZCredential: MD
Location Address171 ASHLEY AVECharleston, SC 29425
Mailing AddressPo Box 751461Charlotte, NC 28275-1461 · (843) 792-6200
Sole ProprietorNo
Medical School CMSJc Edwards School Of Medicine, Marshall UniversityGraduated 2011
Enumeration DateMay 3, 2011
Last NPPES UpdateOctober 20, 20203 updates tracked since enumeration
NPPES CertifiedOctober 20, 2020
NPI 1760774186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License Licensed in SC · 52533
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedPediatricsTaxonomy 208000000X · License A122151 (CA)
171 ASHLEY AVE, Charleston, SC 29425

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Alice Aileen Walz Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305061219
PECOS Enrollment IDI20180921001367
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Allergy & Immunology
171 ASHLEY AVE
CHARLESTON, SC 29425
Nurse Anesthetist, Certified Registered
171 ASHLEY AVE
CHARLESTON, SC 29425
Pathology (Anatomic Pathology)
171 ASHLEY AVE
CHARLESTON, SC 29425
Ophthalmology
171 ASHLEY AVE
CHARLESTON, SC 29425
Social Worker
171 ASHLEY AVE
CHARLESTON, SC 29425
Radiology (Pediatric Radiology)
171 ASHLEY AVE
CHARLESTON, SC 29425
Nurse Practitioner
171 ASHLEY AVE
CHARLESTON, SC 29425
Ophthalmology
171 ASHLEY AVE
CHARLESTON, SC 29425

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alice Walz's NPI number?

The NPI number for Alice Walz is 1760774186. It was assigned to this individual provider in the NPPES registry on May 3, 2011.

Where is Alice Walz located?

Alice Walz practices at 171 Ashley Ave, Charleston, SC 29425. The listed phone number is (843) 792-2618.

What is Alice Walz's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Alice Walz enrolled in Medicare?

Yes. Alice Walz is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Alice Walz accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and First Choice Next list Alice Walz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alice Walz was last updated on October 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.