Benjamin R Waller Iii, MD in Memphis, TN - Medicare Pediatric Medicine

Benjamin R Waller Iii, MD is a medicare enrolled "Internal Medicine - Interventional Cardiology" physician in Memphis, Tennessee. He went to University Of Tennessee, Hsc, College Of Medicine and graduated in 1987 and has 37 years of diverse experience with area of expertise as Pediatric Medicine. He is a member of the group practice Ut Lebonheur Pediatric Specialists, Inc. and his current practice location is 51 N Dunlap St Fl 2, Memphis, Tennessee. You can reach out to his office (for appointments etc.) via phone at (901) 287-7337.

Benjamin R Waller Iii is licensed to practice in Tennessee (license number 19846) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1013974062.

Contact Information

	Benjamin R Waller Iii, MD
	51 N Dunlap St Fl 2, Memphis, TN 38105
	(901) 287-7337
	(901) 287-4646

Map and Direction

Physician's Profile

Full Name	Benjamin R Waller Iii
Gender	Male
Speciality	Pediatric Medicine
Experience	37 Years
Location	51 N Dunlap St Fl 2, Memphis, Tennessee
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Benjamin R Waller Iii attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 1987

NPI Data:

NPI Number: 1013974062
Provider Enumeration Date: 04/26/2006
Last Update Date: 07/13/2018

Medicare PECOS Information:

PECOS PAC ID: 1951595438
Enrollment ID: I20101028000743

Medical Identifiers

Medical identifiers for Benjamin R Waller Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013974062	NPI	-	NPPES
3086106	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0202X	Pediatrics - Pediatric Cardiology	19846 (Tennessee)	Secondary
207RI0011X	Internal Medicine - Interventional Cardiology	19846 (Tennessee)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ut Lebonheur Pediatric Specialists, Inc.	7719173939	119

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. Benjamin R Waller Iii 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
Benjamin R Waller Iii, MD 848 Adams Ave, Memphis, TN 38103-2816 Ph: (901) 287-5594	Benjamin R Waller Iii, MD 51 N Dunlap St Fl 2, Memphis, TN 38105 Ph: (901) 287-7337

Reviews and Comments

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Benjamin R Waller Iii, MD - Medicare Pediatric Medicine in Memphis, TN