Mariah Waller, is a medicare enrolled "Counselor - Professional" provider in Okatie, South Carolina. She graduated from healthcare school in 2019 and has 7 years of diverse experience with area of expertise as Mental Health Counselor. She is a member of the group practice Beaufort Jasper Hampton Comprehensive Health Services Inc and her current practice location is
719 Okatie Hwy, Okatie, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(843) 987-7400.
Mariah Waller is licensed to practice in South Carolina (license number 9978) 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 1366295933.
Healthcare Provider's Profile
| Full Name | Mariah Waller |
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| Gender | Female |
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| Speciality | Mental Health Counselor |
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| Experience | 7 Years |
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| Location | 719 Okatie Hwy, Okatie, South Carolina |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mariah Waller graduated from medical school in 2019
NPI Data:
- NPI Number: 1366295933
- Provider Enumeration Date: 04/11/2024
- Last Update Date: 06/15/2026
Medicare PECOS Information:
- PECOS PAC ID: 8325564867
- Enrollment ID: I20250429000124
Medical Identifiers
Medical identifiers for Mariah Waller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1366295933 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YP2500X | Counselor - Professional | 9978 (South Carolina) | Primary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Beaufort Jasper Hampton Comprehensive Health Services Inc | 5597675728 | 34 |
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. Mariah Waller allows following entities to bill medicare on her behalf.
| Entity Name | Beaufort Jasper Hampton Comprehensive Health Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649276148 PECOS PAC ID: 5597675728 Enrollment ID: O20160427001262 |
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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. Mariah 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 |
Mariah Waller, 721 Okatie Hwy, Okatie, SC 29909-3963 Ph: (843) 987-7400 | Mariah Waller, 719 Okatie Hwy, Okatie, SC 29909-3963 Ph: (843) 987-7400 |
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