Mr Robert Luther Waddell, MD in Ada, OK

Mr Robert Luther Waddell, MD is a medicare enrolled "Surgery" physician in Ada, Oklahoma. His current practice location is 435 N Monte Vista, Ada, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (580) 310-0102.

Mr Robert Luther Waddell is licensed to practice in Oklahoma (license number 20345) 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 1750485058.

Contact Information

	Mr Robert Luther Waddell, MD
	435 N Monte Vista, Ada, OK 74820
	(580) 310-0102
	(580) 310-0104

Map and Direction

Physician's Profile

Full Name	Mr Robert Luther Waddell
Gender	Male
Speciality	Surgery
Location	435 N Monte Vista, Ada, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750485058
Provider Enumeration Date: 09/08/2006
Last Update Date: 10/27/2014

Medicare PECOS Information:

PECOS PAC ID: 9931386083
Enrollment ID: I20110527000145

Medical Identifiers

Medical identifiers for Mr Robert Luther Waddell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750485058	NPI	-	NPPES
10015510A	Medicaid	OK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	20345 (Oklahoma)	Primary

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. Mr Robert Luther Waddell allows following entities to bill medicare on his behalf.

Entity Name	Mercy Clinic Oklahoma Communities
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386874550 PECOS PAC ID: 1153468921 Enrollment ID: O20091027000755

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. Mr Robert Luther Waddell 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
Mr Robert Luther Waddell, MD 530 N Monte Vista St, Suite A, Ada, OK 74820-4675 Ph: (580) 436-7101	Mr Robert Luther Waddell, MD 435 N Monte Vista, Ada, OK 74820 Ph: (580) 310-0102

Reviews and Comments

Surgery Doctors in Ada, OK

Dr. Danielle Renee Burkdoll, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1921 Stonecipher Dr, Ada, OK 74820 Phone: 580-436-3980 Fax: 580-421-6283
Dr. Celeste Coleen Adrian, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 435 N Monte Vista St, Ada, OK 74820 Phone: 580-310-0102 Fax: 580-310-0104
Dr. Justin B Plaxico, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 435 N Monte Vista St, Ada, OK 74820 Phone: 580-310-0102 Fax: 580-310-0104
Dr. Dezarae Leto, DO Surgery Medicare: Medicare Enrolled Practice Location: 1921 Stonecipher Dr, Ada, OK 74820 Phone: 580-436-3980
Ghaith Al-qudah, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 435 N Monte Vista St, Ada, OK 74820 Phone: 580-310-0102 Fax: 580-310-0104
Douglas Thornton, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 435 N Monte Vista St, Ada, OK 74820 Phone: 580-310-0102 Fax: 580-310-0104

Mr Robert Luther Waddell, MD - Medicare Surgery in Ada, OK