Dr Alexander Waldherr, DO is a medicare enrolled "Family Medicine" physician in Indianapolis, Illinois. His current practice location is
300 W Oak St, Indianapolis, Illinois. You can reach out to his office (for appointments etc.) via phone at
(630) 464-9017.
Dr Alexander Waldherr is licensed to practice in Illinois (license number 036.170058) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1457939704.
Physician's Profile
Full Name | Dr Alexander Waldherr |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 300 W Oak St, Indianapolis, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1457939704
- Provider Enumeration Date: 03/30/2021
- Last Update Date: 07/27/2024
Medicare PECOS Information:
- PECOS PAC ID: 8527469048
- Enrollment ID: I20210622001277
Medical Identifiers
Medical identifiers for Dr Alexander Waldherr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457939704 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 036.170058 (Illinois) | Primary |
207Q00000X | Family Medicine | 02007147B (Indiana) | Secondary |
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. Dr Alexander Waldherr 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 |
Dr Alexander Waldherr, DO 788 Monte Vista Ct, Greenwood, IN 46143-1703 Ph: (630) 464-9017 | Dr Alexander Waldherr, DO 300 W Oak St, Indianapolis, IL 62901 Ph: (630) 464-9017 |
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