Adam Waller, NP - Medicare Nurse Practitioner in West Frankfort, IL

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Adam Waller, NP is a medicare enrolled "Nurse Practitioner" in West Frankfort, Illinois. He graduated from nursing school in 2020 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Southern Illinois Medical Services Nfp and his current practice location is 502 W Saint Louis St Ste 4, West Frankfort, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 937-3400.

Adam Waller is licensed to practice in Illinois (license number 209021745) 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 1508476615.

Contact Information

Adam Waller, NP
502 W Saint Louis St Ste 4,
West Frankfort, IL 62896-1968
(618) 937-3400
(618) 997-9324

Map and Direction




Provider's Profile

Full NameAdam Waller
GenderMale
SpecialityNurse Practitioner
Experience5 Years
Location502 W Saint Louis St Ste 4, West Frankfort, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Adam Waller graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1508476615
  • Provider Enumeration Date: 08/04/2020
  • Last Update Date: 05/23/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9931527512
  • Enrollment ID: I20200914002215

Medical Identifiers

Medical identifiers for Adam Waller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508476615NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 209021745 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lhc-illinois Home Health CareMarion, ILHome health agency
Hospice Of Southern Ill, IncBelleville, ILHospice
Southern Illinois Hospital Services Dba Herrin HospitalHerrin, ILHospital
Memorial Hospital Of CarbondaleCarbondale, ILHospital
Franklin HospitalBenton, ILHospital
Heartland Regional Medical CenterMarion, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southern Illinois Medical Services Nfp3678677390252

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. Adam Waller allows following entities to bill medicare on his behalf.
Entity NameMedical Services Ric
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659306587
PECOS PAC ID: 4880598978
Enrollment ID: O20040106000335
Entity NameSouthern Illinois Medical Services Nfp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770656837
PECOS PAC ID: 3678677390
Enrollment ID: O20070404000595
Entity NameSignify Health Medical Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20190507001451

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. Adam 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 AddressPractice Location Address
Adam Waller, NP
Po Box 3988,
Carbondale, IL 62902-3988

Ph: (618) 937-3400		Adam Waller, NP
502 W Saint Louis St Ste 4,
West Frankfort, IL 62896-1968

Ph: (618) 937-3400

Reviews and Comments


Nurse Practitioner Nurses in West Frankfort, IL

Kendra Megan Fischer, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 309 W Saint Louis St, West Frankfort, IL 62896
Phone: 618-932-8375    Fax: 618-932-8575
Moya Racquel Cook, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 502 W St Louis St, West Frankfort, IL 62896
Phone: 618-937-3400    Fax: 618-937-3407
Angela Lea O'dell, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 502 W Saint Louis St, West Frankfort, IL 62896
Phone: 618-937-3400    Fax: 618-997-9324
Mrs. Krysten Taylor Whitehead, APRN FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 909 W Main St, West Frankfort, IL 62896
Phone: 618-372-6040    
Max A Baier, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2553 Ken Gray Blvd, West Frankfort, IL 62896
Phone: 618-932-3937    Fax: 618-932-2734

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.