Dr Christine Diane Waller, DO - Medicare Emergency Medicine in Lafayette, IN

  1. Home
  2. Emergency Medicine
  3. IN
  4. Lafayette
Dr Christine Diane Waller, DO is a medicare enrolled "Emergency Medicine" physician in Lafayette, Indiana. She went to Ohio University, College Of Osteopathic Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Indiana University Health Care Associates Inc and her current practice location is 114 Executive Dr Ste E, Lafayette, Indiana. You can reach out to her office (for appointments etc.) via phone at (765) 446-0170.

Dr Christine Diane Waller is licensed to practice in Indiana (license number 02003516A) 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 1346453552.

Contact Information

Dr Christine Diane Waller, DO
114 Executive Dr Ste E,
Lafayette, IN 47905-4875
(765) 446-0170
Not Available

Map and Direction




Physician's Profile

Full NameDr Christine Diane Waller
GenderFemale
SpecialityEmergency Medicine
Experience19 Years
Location114 Executive Dr Ste E, Lafayette, Indiana
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 Christine Diane Waller attended and graduated from Ohio University, College Of Osteopathic Medicine in 2005
  NPI Data:
  • NPI Number: 1346453552
  • Provider Enumeration Date: 05/07/2007
  • Last Update Date: 02/03/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7517010085
  • Enrollment ID: I20090810000590

Medical Identifiers

Medical identifiers for Dr Christine Diane Waller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346453552NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine BO9667710-705-41 (Ohio)Secondary
207P00000XEmergency Medicine 02003516A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Indiana University Health White Memorial HospitalMonticello, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Indiana University Health Care Associates Inc5799755864882

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 Christine Diane Waller allows following entities to bill medicare on her behalf.
Entity NameLafayette Emergency Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861447211
PECOS PAC ID: 9830189240
Enrollment ID: O20040517001198
Entity NameIndiana University Health Care Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902032832
PECOS PAC ID: 5799755864
Enrollment ID: O20040727000955
Entity NameMonticello Emergency Care, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003849399
PECOS PAC ID: 4183664956
Enrollment ID: O20050511000403
Entity NameBloomington Emergency Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396284410
PECOS PAC ID: 3577840024
Enrollment ID: O20170510001379

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 Christine Diane 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 Christine Diane Waller, DO
250 N Shadeland Ave,
Indianapolis, IN 46219-4959

Ph: () -		Dr Christine Diane Waller, DO
114 Executive Dr Ste E,
Lafayette, IN 47905-4875

Ph: (765) 446-0170

Reviews and Comments


Emergency Medicine Doctors in Lafayette, IN

Andrew Anthony Alaimo, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1701 S Creasy Ln, Lafayette, IN 47905
Phone: 765-502-4000    Fax: 765-502-4683
Lance Randell Seagren, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 2600 Greenbush St, Lafayette, IN 47904
Phone: 765-448-8000    
Samir H Shah, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1701 S Creasy Ln, Lafayette, IN 47905
Phone: 765-502-4000    Fax: 765-502-4709
Dr. Harsha V Musunuru, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905
Phone: 765-448-8000    Fax: 317-838-4751
Christopher Wood, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 2600 Greenbush St, Lafayette, IN 47904
Phone: 765-448-8000    
Dr. Jill Ann Grant, M.D., M.S., FACEP
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 114 Executive Drive, Suite E, Lafayette, IN 47905
Phone: 765-446-0170    
Dr. Nirav L Chheda, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905
Phone: 765-448-8000    

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.