Bonnie Waller, in Eureka, MO - Medicare Counselor Provider

Bonnie Waller, is a medicare enrolled "Counselor - Professional" provider in Eureka, Missouri. Her current practice location is 97 Hilltop Village Center Dr, Eureka, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 374-1620.

Bonnie Waller is licensed to practice in Missouri (license number 2016026454) 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 1871150383.

Contact Information

	Bonnie Waller,
	97 Hilltop Village Center Dr, Eureka, MO 63025-3922
	(314) 374-1620
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Bonnie Waller
Gender	Female
Speciality	Counselor - Professional
Location	97 Hilltop Village Center Dr, Eureka, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871150383
Provider Enumeration Date: 05/21/2019
Last Update Date: 04/04/2024

Medicare PECOS Information:

PECOS PAC ID: 8426496555
Enrollment ID: I20240409000699

Medical Identifiers

Medical identifiers for Bonnie Waller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871150383	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	(* (Not Available))	Secondary
101YP2500X	Counselor - Professional	2016026454 (Missouri)	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. Bonnie Waller allows following entities to bill medicare on her behalf.

Entity Name	Deer Oaks Mental Health Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134175763 PECOS PAC ID: 2264337013 Enrollment ID: O20040813000106

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. Bonnie 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
Bonnie Waller, 97 Hilltop Village Center Dr, Eureka, MO 63025-3922 Ph: (314) 374-1620	Bonnie Waller, 97 Hilltop Village Center Dr, Eureka, MO 63025-3922 Ph: (314) 374-1620

Reviews and Comments

Counselor in Eureka, MO

Mrs. Lauren Scheidegger, M.A., L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 8 Hilltop Village Center Dr, Eureka, MO 63025 Phone: 636-393-8044 Fax: 636-582-9192
Mrs. Chris Sandwell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 67 Muir St, Eureka, MO 63025 Phone: 636-236-3343
Fawn Noel Weber, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 97 Hilltop Village Center Dr, Eureka, MO 63025 Phone: 314-374-1620
Kathryn Klatt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17530 Wyman Ridge Dr, Eureka, MO 63025 Phone: 636-346-1789
Wendy Velicer, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 208 N Central Ave Ste D, Eureka, MO 63025 Phone: 314-467-0556
Carmen V Ihrig, Counselor Medicare: Not Enrolled in Medicare Practice Location: 97 Hilltop Village Center Dr, Eureka, MO 63025 Phone: 314-374-1620
Katherine Mary Dickerson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 97 Hilltop Village Center Dr, Eureka, MO 63025 Phone: 314-374-1620

Bonnie Waller, - Medicare Counselor in Eureka, MO