Dr Eddie Clark Waldheim Jr, MD - Medicare Family Practice in Maitland, FL

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Dr Eddie Clark Waldheim Jr, MD is a medicare enrolled "Family Medicine" physician in Maitland, Florida. He went to University Of South Florida College Of Medicine and graduated in 1982 and has 42 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Adventhealth Primary Care Network Inc and his current practice location is 402 Lake Howell Rd, Maitland, Florida. You can reach out to his office (for appointments etc.) via phone at (407) 628-4312.

Dr Eddie Clark Waldheim Jr is licensed to practice in Florida (license number ME46344) 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 1881797082.

Contact Information

Dr Eddie Clark Waldheim Jr, MD
402 Lake Howell Rd,
Maitland, FL 32751-5907
(407) 628-4312
(407) 628-1845

Map and Direction




Physician's Profile

Full NameDr Eddie Clark Waldheim Jr
GenderMale
SpecialityFamily Practice
Experience42 Years
Location402 Lake Howell Rd, Maitland, Florida
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Eddie Clark Waldheim Jr attended and graduated from University Of South Florida College Of Medicine in 1982
  NPI Data:
  • NPI Number: 1881797082
  • Provider Enumeration Date: 09/06/2006
  • Last Update Date: 04/22/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 3476678962
  • Enrollment ID: I20100921001127

Medical Identifiers

Medical identifiers for Dr Eddie Clark Waldheim Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881797082NPI-NPPES
370808000MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine ME46344 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Adventhealth Home Care Central FloridaOrlando, FLHome health agency
Kindred At HomeOrlando, FLHome health agency
Mederi CaretendersAltamonte springs, FLHome health agency
Trilogy Home HealthcareKissimmee, FLHome health agency
Hospice Of The Comforter IncAltamonte springs, FLHospice
Vitas Healthcare Corporation Of FloridaMelbourne, FLHospice
Adventhealth OrlandoOrlando, FLHospital
Orlando HealthOrlando, FLHospital
Adventhealth New Smyrna BeachNew smyrna beach, FLHospital
Mayflower Healthcare CenterWinter park, FLNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Adventhealth Primary Care Network Inc1557722410338

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 Eddie Clark Waldheim Jr allows following entities to bill medicare on his behalf.
Entity NameFlorida Hospital Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225034234
PECOS PAC ID: 0749186153
Enrollment ID: O20031208000807
Entity NameMaitland Family Practice
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558464669
PECOS PAC ID: 5597889139
Enrollment ID: O20100902000796
Entity NameAdventhealth Primary Care Network Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093493637
PECOS PAC ID: 1557722410
Enrollment ID: O20230725004134

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 Eddie Clark Waldheim Jr 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 AddressPractice Location Address
Dr Eddie Clark Waldheim Jr, MD
402 Lake Howell Rd,
Maitland, FL 32751-5907

Ph: (407) 628-4312		Dr Eddie Clark Waldheim Jr, MD
402 Lake Howell Rd,
Maitland, FL 32751-5907

Ph: (407) 628-4312

Reviews and Comments


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Ms. Judithe Paulius, D.O.
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Phone: 407-628-4312    Fax: 407-628-1845
Bahar Miah, M.D.
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.