Mr Vincent Timothy Waldron, PA-C is a medicare enrolled "Physician Assistant" physician in Marietta, Georgia. He graduated from medical school in 2020 and has 5 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Wellstar Medical Group, Llc and his current practice location is
61 Whitcher St Ne Ste 3110, Marietta, Georgia. You can reach out to his office (for appointments etc.) via phone at
(770) 422-2326.
Mr Vincent Timothy Waldron is licensed to practice in Georgia (license number ) 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 1578125522.
Physician's Profile
| Full Name | Mr Vincent Timothy Waldron |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 5 Years |
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| Location | 61 Whitcher St Ne Ste 3110, Marietta, Georgia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Vincent Timothy Waldron graduated from medical school in 2020
NPI Data:
- NPI Number: 1578125522
- Provider Enumeration Date: 06/30/2019
- Last Update Date: 06/10/2021
Medicare PECOS Information:
- PECOS PAC ID: 9032525407
- Enrollment ID: I20210309003036
Medical Identifiers
Medical identifiers for Mr Vincent Timothy Waldron such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578125522 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207T00000X | Neurological Surgery | 10208 (Georgia) | Secondary |
| 2255A2300X | Specialist/technologist - Athletic Trainer | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Wellstar Medical Group, Llc | 6709065402 | 1917 |
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 Vincent Timothy Waldron 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 Vincent Timothy Waldron, PA-C
61 Whitcher St Ne Ste 3110,
Marietta, GA 30060-1179
Ph: (770) 422-2326 | Mr Vincent Timothy Waldron, PA-C
61 Whitcher St Ne Ste 3110,
Marietta, GA 30060-1179
Ph: (770) 422-2326 |
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