Mrs Michelle Waller, MACCC-A is a medicare enrolled "Audiologist" provider in Bayshore, New York. 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 | |
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Experience | 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. |
Medical Education and Training:
- Mrs Michelle Waller attended and graduated from in
NPI Data:
- NPI Number: 1629169800
- Provider Enumeration Date: 09/27/2006
- Last Update Date: 08/20/2008
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 |
231H00000X | Audiologist | 002098-1 (New York) | Primary |
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 |
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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