Jodi Waller, FNP-C in Mccomb, MS - Medicare Nurse Practitioner

Jodi Waller, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Mccomb, Mississippi. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Statcare Pllc and her current practice location is 300 Rawls Dr Ste 1500, Mccomb, Mississippi. You can reach out to her office (for appointments etc.) via phone at (855) 615-7246.

Jodi Waller is licensed to practice in Mississippi (license number R883312) 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 1811303670.

Contact Information

	Jodi Waller, FNP-C
	300 Rawls Dr Ste 1500, Mccomb, MS 39648-2878
	(855) 615-7246
	Not Available

Map and Direction

Provider's Profile

Full Name	Jodi Waller
Gender	Female
Speciality	Nurse Practitioner
Experience	10 Years
Location	300 Rawls Dr Ste 1500, Mccomb, Mississippi
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:

Jodi Waller graduated from nursing school in 2014

NPI Data:

NPI Number: 1811303670
Provider Enumeration Date: 07/01/2014
Last Update Date: 07/01/2014

Medicare PECOS Information:

PECOS PAC ID: 3779703905
Enrollment ID: I20141009002064

Medical Identifiers

Medical identifiers for Jodi Waller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811303670	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R883312 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Luke Home Health Services	Mccomb, MS	Home health agency
Southwest Ms Regional Medical Center	Mccomb, MS	Hospital
King's Daughters Medical Center-brookhaven	Brookhaven, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Statcare Pllc	5799764965	9

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. Jodi Waller allows following entities to bill medicare on her behalf.

Entity Name	Statcare Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174579338 PECOS PAC ID: 5799764965 Enrollment ID: O20040720000687

Entity Name	Mississippi Emergency Physician Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710220678 PECOS PAC ID: 2264672492 Enrollment ID: O20130710000827

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. Jodi 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
Jodi Waller, FNP-C 1055 Anglin Rd, Summit, MS 39666-7018 Ph: (601) 303-6809	Jodi Waller, FNP-C 300 Rawls Dr Ste 1500, Mccomb, MS 39648-2878 Ph: (855) 615-7246

Reviews and Comments

Nurse Practitioner Nurses in Mccomb, MS

Mrs. Betty Richardson, CNFP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 421 Marion Ave, Mccomb, MS 39648 Phone: 601-684-6891 Fax: 601-249-3834
Micah Kennedy Craft, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 309 Llewellyn Ave, Mccomb, MS 39648 Phone: 601-682-7623
Maranda Jordan Guess, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 309 Llewellyn Ave, Mccomb, MS 39648 Phone: 601-684-7623 Fax: 601-754-7905
Mrs. Mary Thornton, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Rawls Dr, Ste 1200, Mccomb, MS 39648 Phone: 601-249-4710 Fax: 601-249-4716
William Jason Bass, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 215 Marion Ave, Mccomb, MS 39648 Phone: 601-249-5500 Fax: 954-367-8523
Ms. Robin Bass Spring, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 220 Scott Dr, Mccomb, MS 39648 Phone: 601-680-0371
Sunja Tate, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Rawls Drive, Suite 100, Mccomb, MS 39649 Phone: 601-684-7623 Fax: 877-795-9891

Jodi Waller, FNP-C - Medicare Nurse Practitioner in Mccomb, MS