William J Waldo, MD is a medicare enrolled "Surgery" physician in Show Low, Arizona. His current practice location is
2650 E Show Low Lake Rd, Suite 2, Show Low, Arizona. You can reach out to his office (for appointments etc.) via phone at
(928) 537-4240.
William J Waldo is licensed to practice in Arizona (license number 13646) 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 1497725014.
Physician's Profile
Full Name | William J Waldo |
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Gender | Male |
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Speciality | Surgery |
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Location | 2650 E Show Low Lake Rd, Show Low, Arizona |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1497725014
- Provider Enumeration Date: 01/25/2006
- Last Update Date: 10/04/2007
Medicare PECOS Information:
- PECOS PAC ID: 3870630684
- Enrollment ID: I20091028000145
Medical Identifiers
Medical identifiers for William J Waldo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497725014 | NPI | - | NPPES |
225179 | Medicaid | AZ | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 13646 (Arizona) | 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. William J Waldo allows following entities to bill medicare on his behalf.
Entity Name | Dhhs Ihs Phoenix Area |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1427335140 PECOS PAC ID: 2668649567 Enrollment ID: O20120117000781 |
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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. William J Waldo 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 |
William J Waldo, MD 2650 E Show Low Lake Rd, Suite 2, Show Low, AZ 85901-7955 Ph: (928) 537-4240 | William J Waldo, MD 2650 E Show Low Lake Rd, Suite 2, Show Low, AZ 85901-7955 Ph: (928) 537-4240 |
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