Mrs Nancy Waller, PA - Physician Assistant in Pueblo, CO

Mrs Nancy Waller, PA is a Physician Assistant - Medical based in Pueblo, Colorado. Mrs Nancy Waller is licensed to practice in Colorado (license number 120) and her current practice location is 1339 S Pueblo Blvd, Pueblo, Colorado. She can be reached at her office (for appointments etc.) via phone at (719) 647-5831.

NPI number for Mrs Nancy Waller is 1093982647 and her current mailing address is 1339 S Pueblo Blvd, Pueblo, Colorado. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093982647.

Contact Information

Mrs Nancy Waller, PA
1339 S Pueblo Blvd,
Pueblo, CO 81005-1508
(719) 647-5831
(719) 647-5833

Map and Direction




Provider's Profile

Full NameMrs Nancy Waller
GenderFemale
SpecialityPhysician Assistant - Medical
Location1339 S Pueblo Blvd, Pueblo, Colorado
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1093982647
  • Provider Enumeration Date: 05/13/2008
  • Last Update Date: 05/13/2008

Medical Identifiers

Medical identifiers for Mrs Nancy Waller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093982647NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 120 (Colorado)Primary

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 Nancy Waller is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Nancy Waller, PA
1339 S Pueblo Blvd,
Pueblo, CO 81005-1508

Ph: (719) 647-5831
Mrs Nancy Waller, PA
1339 S Pueblo Blvd,
Pueblo, CO 81005-1508

Ph: (719) 647-5831

Reviews and Comments


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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.

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