Ursula F Waller, - Medicare Nurse Anesthetist, Certified Registered in Buckhead, GA

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Ursula F Waller, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Buckhead, Georgia. Her current practice location is 128 Marshall Rd, Buckhead, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 473-6192.

Ursula F Waller is licensed to practice in Georgia (license number 1540540) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1679986988.

Contact Information

Ursula F Waller,
128 Marshall Rd,
Buckhead, GA 30625-2906
(706) 473-6192
(706) 485-9254

Map and Direction




Provider's Profile

Full NameUrsula F Waller
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location128 Marshall Rd, Buckhead, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679986988
  • Provider Enumeration Date: 06/04/2014
  • Last Update Date: 05/27/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 9537386735
  • Enrollment ID: I20160628001752

Medical Identifiers

Medical identifiers for Ursula F Waller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679986988NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 1540540 (Georgia)Primary
367500000XNurse Anesthetist, Certified Registered 9299664 (Florida)Secondary
367500000XNurse Anesthetist, Certified Registered COA.17161-NA (Ohio)Secondary

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. Ursula F Waller allows following entities to bill medicare on her behalf.
Entity NameGreater Anesthesia Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518128289
PECOS PAC ID: 7810064029
Enrollment ID: O20080930000033
Entity NameConcordia Anesthesiology Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619296464
PECOS PAC ID: 8325172885
Enrollment ID: O20100819000220
Entity NameMulkey Anesthesiology Associates, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417288069
PECOS PAC ID: 6406035583
Enrollment ID: O20110120001157
Entity NameCoastal Ambulatory Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750753786
PECOS PAC ID: 1052613023
Enrollment ID: O20160107001775
Entity NameGi Anesthesia Of Georgia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326569187
PECOS PAC ID: 0446516769
Enrollment ID: O20171102000283
Entity NameAnesthesia Services Of North Georgia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386216604
PECOS PAC ID: 5395140925
Enrollment ID: O20210820000002

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. Ursula F 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
Ursula F Waller,
128 Marshall Rd,
Buckhead, GA 30625-2906

Ph: (706) 473-6192		Ursula F Waller,
128 Marshall Rd,
Buckhead, GA 30625-2906

Ph: (706) 473-6192

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Buckhead, GA


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.