Mrs Mary Melanie Waller, MD is a medicare enrolled "Urology" physician in Olney, Illinois. Her current practice location is
1200 N East St, Olney, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 395-5222.
Mrs Mary Melanie Waller is licensed to practice in Illinois (license number 036119328) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1225024615.
Physician's Profile
Full Name | Mrs Mary Melanie Waller |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 1200 N East St, Olney, Illinois |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Mary Melanie Waller attended and graduated from in
NPI Data:
- NPI Number: 1225024615
- Provider Enumeration Date: 09/21/2005
- Last Update Date: 10/05/2009
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mrs Mary Melanie Waller such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225024615 | NPI | - | NPPES |
036119328 | Medicaid | IL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208800000X | Urology | 036119328 (Illinois) | Primary |
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. Mrs Mary Melanie 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 |
Mrs Mary Melanie Waller, MD Po Box 97, Olney, IL 62450-0097 Ph: (618) 395-7340 | Mrs Mary Melanie Waller, MD 1200 N East St, Olney, IL 62450-2432 Ph: (618) 395-5222 |
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