Mr Dudley M Waddle, NP in Conway, SC - Medicare Nurse Practitioner

Mr Dudley M Waddle, NP is a medicare enrolled "Nurse Practitioner - Family" in Conway, South Carolina. His current practice location is 132 Professional Park Dr Unit A, Conway, South Carolina. You can reach out to his office (for appointments etc.) via phone at (843) 347-4900.

Mr Dudley M Waddle is licensed to practice in South Carolina (license number 18521) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1942520705.

Contact Information

	Mr Dudley M Waddle, NP
	132 Professional Park Dr Unit A, Conway, SC 29526-9268
	(843) 347-4900
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Dudley M Waddle
Gender	Male
Speciality	Nurse Practitioner - Family
Location	132 Professional Park Dr Unit A, Conway, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942520705
Provider Enumeration Date: 06/03/2010
Last Update Date: 09/18/2015

Medicare PECOS Information:

PECOS PAC ID: 0648416800
Enrollment ID: I20160505001333

Medical Identifiers

Medical identifiers for Mr Dudley M Waddle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942520705	NPI	-	NPPES
NP2575	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WC1500X	Registered Nurse - Community Health	APN14935 (Tennessee)	Secondary
363L00000X	Nurse Practitioner	APN14935 (Tennessee)	Secondary
363LF0000X	Nurse Practitioner - Family	18521 (South Carolina)	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. Mr Dudley M Waddle allows following entities to bill medicare on his behalf.

Entity Name	Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083643738 PECOS PAC ID: 1759290901 Enrollment ID: O20031105000797

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. Mr Dudley M Waddle 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
Mr Dudley M Waddle, NP 132 Professional Park Dr Unit A, Conway, SC 29526-9268 Ph: (843) 347-4900	Mr Dudley M Waddle, NP 132 Professional Park Dr Unit A, Conway, SC 29526-9268 Ph: (843) 347-4900

Reviews and Comments

Nurse Practitioner Nurses in Conway, SC

Mrs. Danielle Karin Brown, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 251 University Blvd, Conway, SC 29526 Phone: 843-349-6543
Mr. Jonathan D. Briggs, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4300 Highway 90, Conway, SC 29526 Phone: 843-399-3377 Fax: 843-399-3378
Linda Lee Queen, ARPN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1608 Main St, Conway, SC 29526 Phone: 843-248-4700 Fax: 843-248-3145
Dr. Karen Jeanette Smith, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2996 E Highway 501, Conway, SC 29526 Phone: 843-347-2613
Betsy L Paul, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1113 Church St, Conway, SC 29526 Phone: 843-248-6269
Diana L Taylor, DNP, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 140 Professional Park Drive, Conway, SC 29526 Phone: 843-234-5678
Anooja Nair, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 834 Farrar Dr, Conway, SC 29526 Phone: 843-497-7275

Mr Dudley M Waddle, NP - Medicare Nurse Practitioner in Conway, SC