Blaise Waller, DO - Medicare Family Medicine in Des Moines, IA

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Blaise Waller, DO is a medicare enrolled "Family Medicine" physician in Des Moines, Iowa. His current practice location is 1801 Hickman Rd, Des Moines, Iowa. You can reach out to his office (for appointments etc.) via phone at (515) 282-5640.

Blaise Waller is licensed to practice in Iowa (license number R-12276) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1225607500.

Contact Information

Blaise Waller, DO
1801 Hickman Rd,
Des Moines, IA 50314-1597
(515) 282-5640
(515) 282-2332

Map and Direction




Physician's Profile

Full NameBlaise Waller
GenderMale
SpecialityFamily Medicine
Location1801 Hickman Rd, Des Moines, Iowa
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1225607500
  • Provider Enumeration Date: 06/22/2021
  • Last Update Date: 06/22/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7315348034
  • Enrollment ID: I20241016003031

Medical Identifiers

Medical identifiers for Blaise Waller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225607500NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine R-12276 (Iowa)Primary

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. Blaise Waller allows following entities to bill medicare on his behalf.
Entity NameMahaska County Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407869852
PECOS PAC ID: 2769388677
Enrollment ID: O20041202000965
Entity NameMahaska County Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1356320659
PECOS PAC ID: 2769388677
Enrollment ID: O20061104000235

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. Blaise 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
Blaise Waller, DO
1801 Hickman Rd,
Des Moines, IA 50314-1597

Ph: (515) 282-5640		Blaise Waller, DO
1801 Hickman Rd,
Des Moines, IA 50314-1597

Ph: (515) 282-5640

Reviews and Comments


Family Medicine Doctors in Des Moines, IA

Neetha Molakala, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1200 University Ave, Suite 120, Des Moines, IA 50314
Phone: 515-248-1500    Fax: 515-248-1510
Matthew Helmick Williams, D.O.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1801 Hickman Rd, Des Moines, IA 50314
Phone: 515-282-5640    Fax: 515-282-2332
Todd Eberle, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1111 6th Ave, Des Moines, IA 50314
Phone: 515-643-8678    Fax: 515-643-5802
Evan Douglas Peterson, PA-C
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6520 Se 14th St, Des Moines, IA 50320
Phone: 515-953-1500    Fax: 515-953-2136
April Winters, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2353 Se 14th St, Des Moines, IA 50320
Phone: 515-248-1400    Fax: 515-248-1414
Kelli A Roenfanz, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 840 East University Avenue, Des Moines, IA 50316
Phone: 515-265-4211    Fax: 515-309-5993
Dr. Sarah Sweeney Gude, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3509 E 29th St, Des Moines, IA 50317
Phone: 515-248-1600    Fax: 515-248-1610

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.