Dr Jennifer Waller, OD - Medicare Optometrist in Springfield, IL

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Dr Jennifer Waller, OD is a medicare enrolled "Optometrist" provider in Springfield, Illinois. She went to University Of Missouri St Louis - School Of Optometry and graduated in 1998 and has 26 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Fireside Eye Care, P.c. and her current practice location is 2020 W Iles Ave, Springfield, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 698-3030.

Dr Jennifer Waller is licensed to practice in Illinois (license number 046009087) 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 1861440612.

Contact Information

Dr Jennifer Waller, OD
2020 W Iles Ave,
Springfield, IL 62704-4174
(217) 698-3030
(217) 698-3068

Map and Direction




Healthcare Provider's Profile

Full NameDr Jennifer Waller
GenderFemale
SpecialityOptometry
Experience26 Years
Location2020 W Iles Ave, Springfield, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jennifer Waller attended and graduated from University Of Missouri St Louis - School Of Optometry in 1998
  NPI Data:
  • NPI Number: 1861440612
  • Provider Enumeration Date: 05/04/2006
  • Last Update Date: 02/03/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7618955154
  • Enrollment ID: I20040710000271

Medical Identifiers

Medical identifiers for Dr Jennifer Waller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861440612NPI-NPPES
410038558OtherILRAILROAD MEDICARE - GRD
046009087MedicaidIL
410038559OtherILRAILROAD MEDICARE - SPFLD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 046009087 (Illinois)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fireside Eye Care, P.c.36785244363

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. Dr Jennifer Waller allows following entities to bill medicare on her behalf.
Provider NamePrairie Eye Center, Ltd
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1447222864
PECOS PAC ID: 6507779824
Enrollment ID: O20031111000811
Provider NameFireside Eye Care, P.c.
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1447448717
PECOS PAC ID: 3678524436
Enrollment ID: O20050209000380

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. Dr Jennifer 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 AddressPractice Location Address
Dr Jennifer Waller, OD
600 S 8th St,
Benld, IL 62009-1446

Ph: (217) 835-7724		Dr Jennifer Waller, OD
2020 W Iles Ave,
Springfield, IL 62704-4174

Ph: (217) 698-3030

Reviews and Comments


Optometrist in Springfield, IL

Monica Ryan, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 2020 W Iles Ave, Springfield, IL 62704
Phone: 217-698-3030    Fax: 217-698-4728
Dr. Timothy Edwards, O.D.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 121 N Grand Ave W, Springfield, IL 62702
Phone: 217-528-3233    Fax: 217-528-4511
Molly Guithues, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 3055 Wabash Ave, Springfield, IL 62704
Phone: 217-793-2273    Fax: 217-793-2278
Dr. Scott Blomberg, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 121 N Grand Ave W, Springfield, IL 62702
Phone: 217-528-3233    Fax: 217-528-4511
Premier Vision Center Llc
Optometrist
Medicare: Medicare Enrolled
Practice Location: 6900 Preston Dr Ste A, Springfield, IL 62711
Phone: 217-697-8741    
Emily Beyer, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 2020 W Iles Ave, Springfield, IL 62704
Phone: 217-698-3030    Fax: 217-698-4728
James Patrick Walsh, O.D.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 2300 W White Oaks Dr, Sam's Club Optical, Springfield, IL 62704
Phone: 217-698-7662    Fax: 217-698-7875

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.