Jessica D Waller, NP - Medicare Nurse Practitioner in Athens, GA

  1. Home
  2. Nurse Practitioner
  3. GA
  4. Athens
Jessica D Waller, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Athens, Georgia. Her current practice location is 1500 Oglethorpe Ave Ste 500c, Athens, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 546-7484.

Jessica D Waller is licensed to practice in Georgia (license number RN216597) 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 1346827094.

Contact Information

Jessica D Waller, NP
1500 Oglethorpe Ave Ste 500c,
Athens, GA 30606-2184
(706) 546-7484
Not Available

Map and Direction




Provider's Profile

Full NameJessica D Waller
GenderFemale
SpecialityNurse Practitioner - Adult Health
Location1500 Oglethorpe Ave Ste 500c, Athens, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1346827094
  • Provider Enumeration Date: 03/27/2021
  • Last Update Date: 01/15/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8325413875
  • Enrollment ID: I20230414000309

Medical Identifiers

Medical identifiers for Jessica D Waller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346827094NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health RN216597 (Georgia)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. Jessica D Waller allows following entities to bill medicare on her behalf.
Entity NameSt. Mary's Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376711333
PECOS PAC ID: 7113098393
Enrollment ID: O20080616000388

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. Jessica D 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
Jessica D Waller, NP
868 Michael Etchison Rd Ste B,
Monroe, GA 30655-8204

Ph: (706) 389-3440		Jessica D Waller, NP
1500 Oglethorpe Ave Ste 500c,
Athens, GA 30606-2184

Ph: (706) 546-7484

Reviews and Comments


Nurse Practitioner Nurses in Athens, GA

Ms. Susan Gail Adams, APRN-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1905 Barnett Shoals Rd, Athens, GA 30605
Phone: 706-542-7053    
Ireta Favors, PMHNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 250 Bray St, Athens, GA 30601
Phone: 678-215-4907    Fax: 678-671-8489
Melissa Bienacker Baughcum, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 340 N Milledge Ave Ste B, Athens, GA 30601
Phone: 706-548-0008    Fax: 706-369-9673
Amanda Gunter, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1175 Mitchell Bridge Rd, Athens, GA 30606
Phone: 706-534-4637    
Lauren Gruendling, DNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 242 King Avenue, Suite 210, Athens, GA 30606
Phone: 706-475-1700    
Cheryl Y Reed, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2142 W Broad St Bldg 100 Ste 200, Athens, GA 30606
Phone: 706-548-6881    Fax: 706-546-0821
Melisa Ann Suggs, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 240 North Ave, Athens, GA 30601
Phone: 706-613-6976    

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.