Chad Waller, is a
Case Manager/care Coordinator based in Portsmouth, Ohio. Chad Waller is licensed to practice in Ohio (license number CMS) and his current practice location is
411 Court St, Portsmouth, Ohio. He can be reached at his office (for appointments etc.) via phone at
(740) 354-6685.
NPI number for Chad Waller is 1316411416 and his current mailing address is 923 Findlay St, Portsmouth, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1316411416.
Healthcare Provider's Profile
Full Name | Chad Waller |
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Gender | Male |
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Speciality | Case Manager/care Coordinator |
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Location | 411 Court St, Portsmouth, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1316411416
- Provider Enumeration Date: 01/11/2019
- Last Update Date: 01/11/2019
Medical Identifiers
Medical identifiers for Chad Waller such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316411416 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | QMHS (Ohio) | Secondary |
171M00000X | Case Manager/care Coordinator | CMS (Ohio) | 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. Chad Waller is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Chad Waller, 923 Findlay St, Portsmouth, OH 45662-4148 Ph: () - | Chad Waller, 411 Court St, Portsmouth, OH 45662-3932 Ph: (740) 354-6685 |
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