J Gregory Waller Pc is a medicare enrolled "Podiatrist" provider in Blairsville, Georgia. Their current practice location is
602 Pat Haralson Drive, Blairsville, Georgia. You can reach out to their office (for appointments etc.) via phone at
(706) 745-6764.
J Gregory Waller Pc is licensed to practice in Georgia (license number 000746) and it also participates in the medicare program. J Gregory Waller Pc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1295907848.
Healthcare Provider's Profile
Full Name | J Gregory Waller Pc |
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Type | Facility |
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Speciality | Podiatrist |
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Location | 602 Pat Haralson Drive, Blairsville, Georgia |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1295907848
- Provider Enumeration Date: 03/24/2008
- Last Update Date: 07/17/2013
Medicare PECOS Information:
- PECOS PAC ID: 7618040866
- Enrollment ID: O20080721000586
Medical Identifiers
Medical identifiers for J Gregory Waller Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295907848 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213E00000X | Podiatrist | 000746 (Georgia) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
J Gregory Waller Pc acts as a billing entity for following providers:
Provider Name | James G Waller |
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Provider Type | Practitioner - Podiatry |
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Provider Identifiers | NPI Number: 1891714747 PECOS PAC ID: 2365515509 Enrollment ID: I20080721000568 |
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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. J Gregory Waller Pc 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 |
J Gregory Waller Pc 602 Pat Haralson Dr, Blairsville, GA 30512-8414 Ph: (706) 745-6764 | J Gregory Waller Pc 602 Pat Haralson Drive, Blairsville, GA 30512 Ph: (706) 745-6764 |
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