William Lowe Waller Iii, MD in Hattiesburg, MS

William Lowe Waller Iii, MD is a medicare enrolled "Dermatology" physician in Hattiesburg, Mississippi. He went to University Of Mississippi School Of Medicine and graduated in 2006 and has 18 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Hattiesburg Clinic, Pa and his current practice location is 3 Thompson Park, Hattiesburg, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 579-3130.

William Lowe Waller Iii is licensed to practice in Mississippi (license number 21371) 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 1053592840.

Contact Information

	William Lowe Waller Iii, MD
	3 Thompson Park, Hattiesburg, MS 39401-8202
	(601) 579-3130
	(601) 264-5092

Map and Direction

Physician's Profile

Full Name	William Lowe Waller Iii
Gender	Male
Speciality	Dermatology
Experience	18 Years
Location	3 Thompson Park, Hattiesburg, Mississippi
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:

William Lowe Waller Iii attended and graduated from University Of Mississippi School Of Medicine in 2006

NPI Data:

NPI Number: 1053592840
Provider Enumeration Date: 11/20/2007
Last Update Date: 08/03/2020

Medicare PECOS Information:

PECOS PAC ID: 6204916695
Enrollment ID: I20111019000077

Medical Identifiers

Medical identifiers for William Lowe Waller Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053592840	NPI	-	NPPES
9789697	Other	MS	AETNA
05471708	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	MD.201654 (Louisiana)	Secondary
207N00000X	Dermatology	21371 (Mississippi)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Hattiesburg Clinic, Pa	5193706794	488

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 Lowe Waller Iii allows following entities to bill medicare on his behalf.

Entity Name	Hattiesburg Clinic Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740213446 PECOS PAC ID: 5193706794 Enrollment ID: O20040528000685

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 Lowe Waller Iii 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 Lowe Waller Iii, MD 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 579-3130	William Lowe Waller Iii, MD 3 Thompson Park, Hattiesburg, MS 39401-8202 Ph: (601) 579-3130

Reviews and Comments

Dermatology Doctors in Hattiesburg, MS

Steven C Shapiro, MD Dermatology Medicare: Medicare Enrolled Practice Location: 323 Woodshire Dr, Hattiesburg, MS 39402 Phone: 601-434-3938
Stephen L Conerly, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 104 Asbury Cir, Hattiesburg, MS 39402 Phone: 601-268-5252 Fax: 601-268-5190
Mark A Gallardo, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 104 Asbury Cir, Hattiesburg, MS 39402 Phone: 601-268-5252 Fax: 601-268-5190
Dr. Rebecca Duff, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 40 Franklin Rd, Hattiesburg, MS 39402 Phone: 601-296-3405 Fax: 601-296-3409
Lauren Ackerman, PA Dermatology Medicare: Not Enrolled in Medicare Practice Location: 102 E Hospital Dr, Hattiesburg, MS 39402 Phone: 601-475-9968
Maureen Offiah, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 104 Asbury Cir, Hattiesburg, MS 39402 Phone: 601-268-5252 Fax: 601-579-5240

William Lowe Waller Iii, MD - Medicare Dermatology in Hattiesburg, MS