Mrs Kathryn Elizabeth Waller, FNP-C in Tullahoma, TN

Mrs Kathryn Elizabeth Waller, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Tullahoma, Tennessee. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Vanderbilt Integrated Providers Llc and her current practice location is 1805 N Jackson St, Tullahoma, Tennessee. You can reach out to her office (for appointments etc.) via phone at (931) 455-7767.

Mrs Kathryn Elizabeth Waller is licensed to practice in Tennessee (license number 16415) 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 1841562907.

Contact Information

	Mrs Kathryn Elizabeth Waller, FNP-C
	1805 N Jackson St, Tullahoma, TN 37388-2290
	(931) 455-7767
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Kathryn Elizabeth Waller
Gender	Female
Speciality	Nurse Practitioner
Experience	13 Years
Location	1805 N Jackson St, Tullahoma, Tennessee
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:

Mrs Kathryn Elizabeth Waller graduated from nursing school in 2011

NPI Data:

NPI Number: 1841562907
Provider Enumeration Date: 02/06/2012
Last Update Date: 09/03/2020

Medicare PECOS Information:

PECOS PAC ID: 4587827407
Enrollment ID: I20120511000483

Medical Identifiers

Medical identifiers for Mrs Kathryn Elizabeth Waller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841562907	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	16415 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Vanderbilt University Medical Center	Nashville, TN	Hospital
Tennova Healthcare-harton	Tullahoma, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Vanderbilt Integrated Providers Llc	7012817919	22

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. Mrs Kathryn Elizabeth Waller allows following entities to bill medicare on her behalf.

Entity Name	Vanderbilt Integrated Providers Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982625091 PECOS PAC ID: 7012817919 Enrollment ID: O20040108001021

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. Mrs Kathryn Elizabeth 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
Mrs Kathryn Elizabeth Waller, FNP-C 1805 N Jackson St, Tullahoma, TN 37388-2290 Ph: (931) 455-7767	Mrs Kathryn Elizabeth Waller, FNP-C 1805 N Jackson St, Tullahoma, TN 37388-2290 Ph: (931) 455-7767

Reviews and Comments

Nurse Practitioner Nurses in Tullahoma, TN

Mrs. Shonda Tormohlen, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 108 E Lauderdale St, Tullahoma, TN 37388 Phone: 423-309-9650
Sharon Lynn Gilliam, MSN CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 150 Jack Farrar Ln, Tullahoma, TN 37388 Phone: 931-455-2766 Fax: 931-455-2829
Melissa Ann Perry, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 710 Kings Ln, Tullahoma, TN 37388 Phone: 931-962-4040
Robbie M. Webb, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1801 N Jackson St, Tullahoma, TN 37388 Phone: 931-461-4921 Fax: 931-461-4677
Kacy Mikala Kirk, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1803 N Jackson St, Tullahoma, TN 37388 Phone: 931-455-3400
Ladonna Marie Ledford, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 215 S Anderson St, Tullahoma, TN 37388 Phone: 931-563-7464 Fax: 931-563-7401
Jason A. Martin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 N Jackson St, Tullahoma, TN 37388 Phone: 931-563-5463

Mrs Kathryn Elizabeth Waller, FNP-C - Medicare Nurse Practitioner in Tullahoma, TN