Mrs Michelle Waller, MACCC-A is a medicare enrolled "Audiologist" provider in Bayshore, New York. She graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Qualified Audiologist. She is a member of the group practice Ent And Allergy Associates Llp and her current practice location is
375 East Main Street Ste. 17, Bayshore, New York. You can reach out to her office (for appointments etc.) via phone at
(631) 665-6922.
Mrs Michelle Waller is licensed to practice in New York (license number 002098-1) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1629169800.
Healthcare Provider's Profile
| Full Name | Mrs Michelle Waller |
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| Gender | Female |
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| Speciality | Qualified Audiologist |
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| Experience | 15 Years |
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| Location | 375 East Main Street Ste. 17, Bayshore, New York |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Michelle Waller graduated from medical school in 2009
NPI Data:
- NPI Number: 1629169800
- Provider Enumeration Date: 09/27/2006
- Last Update Date: 08/20/2008
Medicare PECOS Information:
- PECOS PAC ID: 6103845920
- Enrollment ID: I20051122000033
Medical Identifiers
Medical identifiers for Mrs Michelle Waller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629169800 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 231H00000X | Audiologist | 002098-1 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Ent And Allergy Associates Llp | 0749193662 | 365 |
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. Mrs Michelle Waller allows following entities to bill medicare on her behalf.
| Provider Name | Ent And Allergy Associates Llp |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1376598326
PECOS PAC ID: 0749193662
Enrollment ID: O20031107000043 |
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| Provider Name | Sight Medical Doctors Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1487077483
PECOS PAC ID: 5991935173
Enrollment ID: O20140310000579 |
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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. Mrs Michelle 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 |
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Mrs Michelle Waller, MACCC-A
251 Lyman Rd,
East Patchogue, NY 11772-6249
Ph: (631) 286-9366 | Mrs Michelle Waller, MACCC-A
375 East Main Street Ste. 17,
Bayshore, NY 11706
Ph: (631) 665-6922 |
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