Nancy Waller, MD in Minneapolis, MN

Nancy Waller, MD is a medicare enrolled "Pediatrics" physician in Minneapolis, Minnesota. Her current practice location is 701 25th Ave S, #306, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 672-2350.

Nancy Waller is licensed to practice in Minnesota (license number 41111) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1508833419.

Contact Information

	Nancy Waller, MD
	701 25th Ave S, #306, Minneapolis, MN 55454-1513
	(612) 672-2350
	Not Available

Map and Direction

Physician's Profile

Full Name	Nancy Waller
Gender	Female
Speciality	Pediatrics
Location	701 25th Ave S, Minneapolis, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508833419
Provider Enumeration Date: 03/01/2006
Last Update Date: 05/15/2008

Medicare PECOS Information:

PECOS PAC ID: 7517315641
Enrollment ID: I20231129002092

Medical Identifiers

Medical identifiers for Nancy Waller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508833419	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	41111 (Minnesota)	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. Nancy Waller allows following entities to bill medicare on her behalf.

Entity Name	Fairview Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461

Entity Name	Fairview Clinics
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346432218 PECOS PAC ID: 7113830142 Enrollment ID: O20031106000516

Entity Name	Healtheast Medical Research Institute
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639125503 PECOS PAC ID: 3971407636 Enrollment ID: O20031124000507

Entity Name	Fairview Express Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548

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. Nancy 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
Nancy Waller, MD 701 25th Ave S Ste 306, Minneapolis, MN 55454-1443 Ph: () -	Nancy Waller, MD 701 25th Ave S, #306, Minneapolis, MN 55454-1513 Ph: (612) 672-2350

Reviews and Comments

Pediatrics Doctors in Minneapolis, MN

Dr. Kathleen F Sadak, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2450 Riverside Ave, Minneapolis, MN 55454 Phone: 612-273-6402
Dr. Aimee Kristen Sznewajs, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2525 Chicago Ave, Minneapolis, MN 55404 Phone: 612-343-2121
Anisha Rimal, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 715 S 8th St, Minneapolis, MN 55404 Phone: 612-873-6963
Dr. Marie Elizabeth Steiner, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: University Of Minnesota Physicians, 516 Delaware Street Se, Pwb Fourth Floor, Room 4-100, Minneapolis, MN 55455 Phone: 612-626-2916
Dr. Bruce Robert Blazar, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 516 Delaware Street Se, University Of Mn Physicians, Pwb Fifth Floor, Clinic 5b, Minneapolis, MN 55455 Phone: 612-273-2800
Dr. Pablo Ureta Avendano, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: University Of Minnesota Physicians, 516 Delaware Street Se, Pwb Fourth Floor, Room 4-100, Minneapolis, MN 55455 Phone: 612-626-2916
Heather Emily Stefanski, MD, PH.D Pediatrics Medicare: Medicare Enrolled Practice Location: Mmc 366, University Of Minnesota, Minneapolis, MN 55455 Phone: 612-626-2961

Nancy Waller, MD - Medicare Pediatrics in Minneapolis, MN