Nacorya Waller, MSW, LMHP-S is a medicare enrolled "Counselor - Mental Health" provider in Collinsville, Virginia. Her current practice location is
123 Woodlyn Dr, Collinsville, Virginia. You can reach out to her office (for appointments etc.) via phone at
(276) 734-3415.
Nacorya Waller is licensed to practice in * (Not Available) (license number ) 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 1831895309.
Healthcare Provider's Profile
| Full Name | Nacorya Waller |
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| Gender | Female |
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| Speciality | Counselor - Mental Health |
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| Location | 123 Woodlyn Dr, Collinsville, Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1831895309
- Provider Enumeration Date: 02/06/2023
- Last Update Date: 04/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 9032559927
- Enrollment ID: I20240425001367
Medical Identifiers
Medical identifiers for Nacorya Waller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831895309 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | 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. Nacorya Waller allows following entities to bill medicare on her behalf.
| Entity Name | Quality Connections Support Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194422881
PECOS PAC ID: 3779923669
Enrollment ID: O20240425001222 |
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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. Nacorya 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 |
|---|
Nacorya Waller, MSW, LMHP-S
123 Woodlyn Dr,
Collinsville, VA 24078-1660
Ph: (276) 734-3415 | Nacorya Waller, MSW, LMHP-S
123 Woodlyn Dr,
Collinsville, VA 24078-1660
Ph: (276) 734-3415 |
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