Emily Waller, LMHC-LPC in Stamford, CT - Medicare Counselor Provider

Emily Waller, LMHC-LPC is a medicare enrolled "Counselor - Professional" provider in Stamford, Connecticut. Her current practice location is 101 Grove St, Stamford, Connecticut. You can reach out to her office (for appointments etc.) via phone at (917) 880-0292.

Emily Waller is licensed to practice in Connecticut (license number 004951) 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 1487163986.

Contact Information

	Emily Waller, LMHC-LPC
	101 Grove St, Stamford, CT 06901-1844
	(917) 880-0292
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Emily Waller
Gender	Female
Speciality	Counselor - Professional
Location	101 Grove St, Stamford, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487163986
Provider Enumeration Date: 09/27/2017
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 2466895446
Enrollment ID: I20240206004434

Medical Identifiers

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

Identifier	Type	State	Issuer
1487163986	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	009516-1 (New York)	Secondary
101YP2500X	Counselor - Professional	004951 (Connecticut)	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.

Entity Name	Hartford Healthcare Medical Group Specialists Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023584216 PECOS PAC ID: 3173866241 Enrollment ID: O20190514001441

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, LMHC-LPC 562 Hope St, Stamford, CT 06907-2722 Ph: (914) 361-5037	Emily Waller, LMHC-LPC 101 Grove St, Stamford, CT 06901-1844 Ph: (917) 880-0292

Reviews and Comments

Counselor in Stamford, CT

Brianna Robinson, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 1351 Washington Blvd, Stamford, CT 06902 Phone: 203-621-3700
Ms. Sharon M Fornaciari, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 38 Hirsch Road, Stamford, CT 06905 Phone: 203-968-0451 Fax: 203-961-1223
Dr. James J. Wisecup, D.MIN. Counselor Medicare: Not Enrolled in Medicare Practice Location: 53 W Bank Ln, Stamford, CT 06902 Phone: 203-602-9969 Fax: 203-602-2234
William Earl Ezzelle, LPC Counselor Medicare: Medicare Enrolled Practice Location: 60 Palmers Hill Rd, Stamford, CT 06902 Phone: 203-614-9942
Ms. Susan K Cook, M.A., L.C.S.W., Counselor Medicare: Medicare Enrolled Practice Location: 48 Don Bob Rd, Stamford, CT 06903 Phone: 203-968-6180
Amanda Brown, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 30 Buxton Farm Rd Ste 105, Stamford, CT 06905 Phone: 845-325-5511
Grace S Yang, Counselor Medicare: Not Enrolled in Medicare Practice Location: 30 Buxton Farm Rd Ste 105, Stamford, CT 06905 Phone: 203-674-8200

Emily Waller, LMHC-LPC - Medicare Counselor in Stamford, CT