Mr Roger R Waller, MD in Maquoketa, IA - Medicare Family Practice

Mr Roger R Waller, MD is a medicare enrolled "Family Medicine" physician in Maquoketa, Iowa. He went to University Of Iowa, Rj & L Carver 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 Maquoketa Family Clinic and his current practice location is 206 North Arcade, Maquoketa, Iowa. You can reach out to his office (for appointments etc.) via phone at (563) 652-6711.

Mr Roger R Waller is licensed to practice in Iowa (license number 29372) 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 1750370011.

Contact Information

	Mr Roger R Waller, MD
	206 North Arcade, Maquoketa, IA 52060-2022
	(563) 652-6711
	(563) 652-6715

Map and Direction

Physician's Profile

Full Name	Mr Roger R Waller
Gender	Male
Speciality	Family Practice
Experience	32 Years
Location	206 North Arcade, Maquoketa, Iowa
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:

Mr Roger R Waller attended and graduated from University Of Iowa, Rj & L Carver College Of Medicine in 1992

NPI Data:

NPI Number: 1750370011
Provider Enumeration Date: 10/19/2005
Last Update Date: 03/06/2024

Medicare PECOS Information:

PECOS PAC ID: 5991899627
Enrollment ID: I20100921001096

Medical Identifiers

Medical identifiers for Mr Roger R Waller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750370011	NPI	-	NPPES
2101899	Medicaid	IA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	29372 (Iowa)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Genesis Vna	Bettendorf, IA	Home health agency
Hospice Of Jackson County	Maquoketa, IA	Hospice
Jackson County Regional Health Center	Maquoketa, IA	Hospital
Maquoketa Care Center	Maquoketa, IA	Nursing home

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Maquoketa Family Clinic	1951291095	5

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 Roger R Waller allows following entities to bill medicare on his behalf.

Entity Name	Jackson County Public Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689705949 PECOS PAC ID: 1254248958 Enrollment ID: O20040120000117

Entity Name	Maquoketa Family Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407845175 PECOS PAC ID: 1951291095 Enrollment ID: O20040319001180

Entity Name	Jackson County Public Hospital
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1912960758 PECOS PAC ID: 1254248958 Enrollment ID: O20061104000661

Entity Name	Jackson County Public Hospital
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1326002643 PECOS PAC ID: 1254248958 Enrollment ID: O20070103000149

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 Roger R 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
Mr Roger R Waller, MD 206 North Arcade, Maquoketa, IA 52060-2022 Ph: (563) 652-6711	Mr Roger R Waller, MD 206 North Arcade, Maquoketa, IA 52060-2022 Ph: (563) 652-6711

Reviews and Comments

Family Medicine Doctors in Maquoketa, IA

Mrs. Ann E Patterson, ARNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 206 North Arcade, Maquoketa, IA 52060 Phone: 563-652-6711 Fax: 563-652-6715
Katherine E Ruff, DNP, ARNP, FNP-BC Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 918 W Platt St, Maquoketa, IA 52060 Phone: 563-652-5145
Dr. Jill M Hunt, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 918 W Platt St # 1, Maquoketa, IA 52060 Phone: 563-652-5145 Fax: 563-652-3674
Mr. Eric Scott Petersen, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 918 W Platt St # 1, Maquoketa, IA 52060 Phone: 563-652-5145 Fax: 563-652-3674
Dr. Bradley B Waller, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 206 N Arcade St, Maquoketa, IA 52060 Phone: 563-652-6711 Fax: 563-652-6715
Ms. Alyssa Lakin, PA C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 206 N Arcade, Maquoketa, IA 52060 Phone: 563-652-6711 Fax: 563-652-6715
Katherine L Hurst, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 W Grove St, Maquoketa, IA 52060 Phone: 563-652-2474

Mr Roger R Waller, MD - Medicare Family Practice in Maquoketa, IA