Dr J Gregory Waller, DPM,PC is a medicare enrolled "Podiatrist" provider in Blairsville, Georgia. He went to Temple University School Of Podiatric Medicine and graduated in 1992 and has 32 years of diverse experience with area of expertise as Podiatry. His current practice location is
602 Pat Haralson Dr, Blairsville, Georgia. You can reach out to his office (for appointments etc.) via phone at
(706) 745-6764.
Dr J Gregory Waller is licensed to practice in Georgia (license number 000746) 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 1891714747.
Healthcare Provider's Profile
| Full Name | Dr J Gregory Waller |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 32 Years |
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| Location | 602 Pat Haralson Dr, Blairsville, Georgia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr J Gregory Waller attended and graduated from Temple University School Of Podiatric Medicine in 1992
NPI Data:
- NPI Number: 1891714747
- Provider Enumeration Date: 07/19/2006
- Last Update Date: 06/05/2012
Medicare PECOS Information:
- PECOS PAC ID: 2365515509
- Enrollment ID: I20080721000568
Medical Identifiers
Medical identifiers for Dr J Gregory Waller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1891714747 | NPI | - | NPPES |
| 000642672A | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213E00000X | Podiatrist | 000746 (Georgia) | Primary |
Medical Facilities Affiliation
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 J Gregory Waller allows following entities to bill medicare on his behalf.
| Provider Name | J Gregory Waller Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1295907848
PECOS PAC ID: 7618040866
Enrollment ID: O20080721000586 |
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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 J Gregory 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 |
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Dr J Gregory Waller, DPM,PC
602 Pat Haralson Dr,
Blairsville, GA 30512-8414
Ph: (706) 745-6764 | Dr J Gregory Waller, DPM,PC
602 Pat Haralson Dr,
Blairsville, GA 30512-8414
Ph: (706) 745-6764 |
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