Zachary Waller, is a medicare enrolled "Occupational Therapist" provider in Holiday Island, Arkansas. He graduated from medical school in 2021 and has 3 years of diverse experience with area of expertise as Occupational Therapy. He is a member of the group practice Wolf Wellness Center Pllc and his current practice location is
23 Parkcliff Dr, Holiday Island, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(147) 936-3642.
Zachary Waller is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1295488468.
Healthcare Provider's Profile
| Full Name | Zachary Waller |
|---|
| Gender | Male |
|---|
| Speciality | Occupational Therapy |
|---|
| Experience | 3 Years |
|---|
| Location | 23 Parkcliff Dr, Holiday Island, Arkansas |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Zachary Waller graduated from medical school in 2021
NPI Data:
- NPI Number: 1295488468
- Provider Enumeration Date: 01/28/2022
- Last Update Date: 01/28/2022
Medicare PECOS Information:
- PECOS PAC ID: 3779978945
- Enrollment ID: I20220325000180
Medical Identifiers
Medical identifiers for Zachary Waller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295488468 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Wolf Wellness Center Pllc | 5395048136 | 3 |
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. Zachary Waller allows following entities to bill medicare on his behalf.
| Provider Name | Wolf Wellness Center Pllc |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1588037196
PECOS PAC ID: 5395048136
Enrollment ID: O20160128000537 |
|---|
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. Zachary 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 |
|---|
Zachary Waller,
23 Parkcliff Dr,
Holiday Island, AR 72631-8045
Ph: (147) 936-3642 | Zachary Waller,
23 Parkcliff Dr,
Holiday Island, AR 72631-8045
Ph: (147) 936-3642 |
Reviews and Comments