Dr Andrew Waller, MD in Abingdon, VA - Medicare Addiction Medicine

Dr Andrew Waller, MD is a medicare enrolled "Internal Medicine" physician in Abingdon, Virginia. He graduated from medical school in 1986 and has 38 years of diverse experience with area of expertise as Addiction Medicine. He is a member of the group practice Revida Recovery Centers Pc, Revida Recovery Centers Pc and his current practice location is 300 Valley St Ne, Abingdon, Virginia. You can reach out to his office (for appointments etc.) via phone at (276) 206-8197.

Dr Andrew Waller is licensed to practice in Virginia (license number 0101257630) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1053334219.

Contact Information

	Dr Andrew Waller, MD
	300 Valley St Ne, Abingdon, VA 24210-2912
	(276) 206-8197
	(276) 206-8761

Map and Direction

Physician's Profile

Full Name	Dr Andrew Waller
Gender	Male
Speciality	Addiction Medicine
Experience	38 Years
Location	300 Valley St Ne, Abingdon, Virginia
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Andrew Waller graduated from medical school in 1986

NPI Data:

NPI Number: 1053334219
Provider Enumeration Date: 07/26/2006
Last Update Date: 08/14/2023

Medicare PECOS Information:

PECOS PAC ID: 8628147550
Enrollment ID: I20191002001323

Medical Identifiers

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

Identifier	Type	State	Issuer
1053334219	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RA0401X	Internal Medicine - Addiction Medicine	0101257630 (Virginia)	Secondary
207R00000X	Internal Medicine	0101257630 (Virginia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Revida Recovery Centers Pc	1153657473	26
Revida Recovery Centers Pc	1153657473	26

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. Dr Andrew Waller allows following entities to bill medicare on his behalf.

Entity Name	Revida Recovery Centers Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013483486 PECOS PAC ID: 1153657473 Enrollment ID: O20190904001928

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 Andrew 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
Dr Andrew Waller, MD 300 Valley St Ne, Abingdon, VA 24210-2912 Ph: (276) 206-8197	Dr Andrew Waller, MD 300 Valley St Ne, Abingdon, VA 24210-2912 Ph: (276) 206-8197

Reviews and Comments

Internal Medicine Doctors in Abingdon, VA

Dr. Joe Rupe, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 16000 Johnston Memorial Dr, Abingdon, VA 24211 Phone: 276-258-4050 Fax: 276-258-4056
Dr. Beverly Tara Smith, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 16000 Johnston Memorial Dr, Abingdon, VA 24211 Phone: 276-258-1000
Maung M. Kyi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 16000 Johnston Memorial Dr Ste 312c, Abingdon, VA 24211 Phone: 276-258-1985 Fax: 276-258-1989
Martin Monahan, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 322 E Valley St, Abingdon, VA 24210 Phone: 276-628-1106 Fax: 276-676-0215
Dr. Gregory H Miller, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 16000 Johnston Memorial Dr, Suite 212a, Abingdon, VA 24211 Phone: 276-258-3740 Fax: 276-258-3745
John Byron Patterson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 16000 Johnston Memorial Dr, Suite 212a, Abingdon, VA 24211 Phone: 276-258-3740 Fax: 276-258-3745

Dr Andrew Waller, MD - Medicare Addiction Medicine in Abingdon, VA