Emily Waller, AUD is a medicare enrolled "Audiologist" provider in Champaign Il, Illinois. Her current practice location is
3105 Fields South Dr, Audiology Department, Champaign Il, Illinois. You can reach out to her office (for appointments etc.) via phone at
(217) 902-3277.
Emily Waller is licensed to practice in Illinois (license number 147001894) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1578298626.
Healthcare Provider's Profile
Full Name | Emily Waller |
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Gender | Female |
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Speciality | Audiologist |
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Location | 3105 Fields South Dr, Champaign Il, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1578298626
- Provider Enumeration Date: 07/22/2022
- Last Update Date: 12/02/2022
Medicare PECOS Information:
- PECOS PAC ID: 0547645277
- Enrollment ID: I20220916001694
Medical Identifiers
Medical identifiers for Emily Waller such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578298626 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
231H00000X | Audiologist | 147001894 (Illinois) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Emily Waller allows following entities to bill medicare on her behalf.
Provider Name | Carle Health Care Incorporated |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Emily Waller is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Emily Waller, AUD 611 W Park St, Urbana, IL 61801-2529 Ph: (217) 902-5291 | Emily Waller, AUD 3105 Fields South Dr, Audiology Department, Champaign Il, IL 61822 Ph: (217) 902-3277 |
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