Katie Waller, in Fort Smith, AR - Medicare Nurse Practitioner

Katie Waller, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Fort Smith, Arkansas. Her current practice location is 3111 S 70th St, Fort Smith, Arkansas. You can reach out to her office (for appointments etc.) via phone at (903) 749-1755.

Katie Waller is licensed to practice in Arkansas (license number 227616) 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 1043074396.

Contact Information

	Katie Waller,
	3111 S 70th St, Fort Smith, AR 72903-5017
	(903) 749-1755
	Not Available

Map and Direction

Provider's Profile

Full Name	Katie Waller
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	3111 S 70th St, Fort Smith, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043074396
Provider Enumeration Date: 02/07/2024
Last Update Date: 02/07/2024

Medicare PECOS Information:

PECOS PAC ID: 9830539055
Enrollment ID: I20240503002717

Medical Identifiers

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

Identifier	Type	State	Issuer
1043074396	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	227616 (Arkansas)	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. Katie Waller allows following entities to bill medicare on her behalf.

Entity Name	Western Arkansas Counseling & Guidance Center, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326040692 PECOS PAC ID: 1355326174 Enrollment ID: O20040623001595

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. Katie 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
Katie Waller, 1014 Red Oak St, Elkins, AR 72727-7201 Ph: (903) 749-1755	Katie Waller, 3111 S 70th St, Fort Smith, AR 72903-5017 Ph: (903) 749-1755

Reviews and Comments

Nurse Practitioner Nurses in Fort Smith, AR

Steven A. Wells, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7301 Rogers Ave, Fort Smith, AR 72903 Phone: 479-314-6000
Valentina Nastasi, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7600 Rogers Ave, Fort Smith, AR 72903 Phone: 479-226-8340
Mrs. Tonya Renea Allen, APRN, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3112 S 70th St, Fort Smith, AR 72903 Phone: 479-452-8600
Mandi T Williams, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7217 Cameron Park Dr, Fort Smith, AR 72903 Phone: 479-831-6007 Fax: 479-782-1242
Tracy Lynn Fisher, APN, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4900 Kelley Hwy, Fort Smith, AR 72904 Phone: 479-785-5700 Fax: 479-785-5708
Mrs. Athena Frangos-pasley, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1500 Dodson Ave, Fort Smith, AR 72901 Phone: 479-709-6850
Mrs. Gayla Denise Johnson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7301 Rogers Ave, Fort Smith, AR 72903 Phone: 479-484-6000

Katie Waller, - Medicare Nurse Practitioner in Fort Smith, AR