Carly Lynne Waller, CNM is a medicare enrolled "Advanced Practice Midwife" in Concord, North Carolina. Her current practice location is
9955 Poplar Tent Rd, Concord, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(704) 316-4828.
Carly Lynne Waller is licensed to practice in North Carolina (license number CNM699) 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 1649765389.
Provider's Profile
Full Name | Carly Lynne Waller |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 9955 Poplar Tent Rd, Concord, North Carolina |
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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:
- Carly Lynne Waller attended and graduated from in
NPI Data:
- NPI Number: 1649765389
- Provider Enumeration Date: 06/26/2018
- Last Update Date: 06/30/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Carly Lynne Waller such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649765389 | NPI | - | NPPES |
CNM04927 | Other | NC | MIDWIFERY JOINT COMMITTEE OF THE STATE OF NORTH CAROLINA |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367A00000X | Advanced Practice Midwife | CNM699 (North Carolina) | 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. Carly Lynne 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 |
Carly Lynne Waller, CNM Po Box 60447, Charlotte, NC 28260-0447 Ph: () - | Carly Lynne Waller, CNM 9955 Poplar Tent Rd, Concord, NC 28027-9314 Ph: (704) 316-4828 |
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