Jerome H Waller Jr, MD - Medicare Family Practice in Liberty, SC

  1. Home
  2. Family Medicine
  3. SC
  4. Liberty
Jerome H Waller Jr, MD is a medicare enrolled "Family Medicine" physician in Liberty, South Carolina. He went to University Of Kentucky College Of Medicine and graduated in 1992 and has 32 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Prisma Health University Medical Group and his current practice location is 300 W Front St, Liberty, South Carolina. You can reach out to his office (for appointments etc.) via phone at (864) 843-5605.

Jerome H Waller Jr is licensed to practice in South Carolina (license number 016611) 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 1043262868.

Contact Information

Jerome H Waller Jr, MD
300 W Front St,
Liberty, SC 29657-1012
(864) 843-5605
(864) 843-0996

Map and Direction




Physician's Profile

Full NameJerome H Waller Jr
GenderMale
SpecialityFamily Practice
Experience32 Years
Location300 W Front St, Liberty, South Carolina
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:
  • Jerome H Waller Jr attended and graduated from University Of Kentucky College Of Medicine in 1992
  NPI Data:
  • NPI Number: 1043262868
  • Provider Enumeration Date: 05/17/2006
  • Last Update Date: 06/30/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9335287234
  • Enrollment ID: I20091113000379

Medical Identifiers

Medical identifiers for Jerome H Waller Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043262868NPI-NPPES
166117MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 016611 (South Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Interim Healthcare Of The UpstateGreenville, SCHome health agency
Prisma Health Baptist Easley HospitalEasley, SCHospital
Prisma Health Greenville Memorial HospitalGreenville, SCHospital
Prisma Health Patewood HospitalGreenville, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Prisma Health University Medical Group83259509832206

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. Jerome H Waller Jr allows following entities to bill medicare on his behalf.
Entity NamePrisma Health University Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295763217
PECOS PAC ID: 8325950983
Enrollment ID: O20031103000238
Entity NameBaptist Easley Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144452889
PECOS PAC ID: 0840337606
Enrollment ID: O20091027000684

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. Jerome H Waller 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
Jerome H Waller Jr, MD
300 E Mcbee Ave Fl 4,
Greenville, SC 29601-2842

Ph: (864) 522-8603		Jerome H Waller Jr, MD
300 W Front St,
Liberty, SC 29657-1012

Ph: (864) 843-5605

Reviews and Comments


Family Medicine Doctors in Liberty, SC

Mark D Walsh, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 300 W Front St, Liberty, SC 29657
Phone: 864-843-5605    Fax: 864-843-0996
Lori R Carnsew, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 300 W Front St, Liberty, SC 29657
Phone: 864-843-5605    Fax: 864-843-0996
Dr. John Randolph, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 105 Liberty Blvd, Liberty, SC 29657
Phone: 864-843-8500    Fax: 864-843-5634

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.