David J Waddell, MD in Sullivan, MO

David J Waddell, MD is a medicare enrolled "Hospitalist" physician in Sullivan, Missouri. He went to Ohio State University College Of Medicine and graduated in 1986 and has 38 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice Missouri Baptist Hospital Of Sullivan and his current practice location is 751 Sappington Bridge Rd, Sullivan, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 468-4186.

David J Waddell is licensed to practice in Missouri (license number 2023006560) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1144239500.

Contact Information

	David J Waddell, MD
	751 Sappington Bridge Rd, Sullivan, MO 63080-2354
	(573) 468-4186
	Not Available

Map and Direction

Physician's Profile

Full Name	David J Waddell
Gender	Male
Speciality	Hospitalist
Experience	38 Years
Location	751 Sappington Bridge Rd, Sullivan, Missouri
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

David J Waddell attended and graduated from Ohio State University College Of Medicine in 1986

NPI Data:

NPI Number: 1144239500
Provider Enumeration Date: 08/05/2006
Last Update Date: 08/01/2023

Medicare PECOS Information:

PECOS PAC ID: 5395826382
Enrollment ID: I20230906003264

Medical Identifiers

Medical identifiers for David J Waddell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144239500	NPI	-	NPPES
0148593	Medicaid	IA
110149386	Other	IA	RR MEDICARE
208691204	Medicaid	MO
209747001	Medicaid	AR
421202636	Other	IA	TAX ID
419099YWUJ	Other	AR	MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	2023006560 (Missouri)	Secondary
207RG0300X	Internal Medicine - Geriatric Medicine	31608 (Iowa)	Secondary
208M00000X	Hospitalist	E9142 (Arkansas)	Secondary
208M00000X	Hospitalist	2023006560 (Missouri)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Missouri Baptist Sullivan Hospital	Sullivan, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Missouri Baptist Hospital Of Sullivan	2668380148	28

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. David J Waddell allows following entities to bill medicare on his behalf.

Entity Name	Physician Groups Lc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285664268 PECOS PAC ID: 3072421254 Enrollment ID: O20040220001157

Entity Name	Missouri Baptist Hospital Of Sullivan
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295743169 PECOS PAC ID: 2668380148 Enrollment ID: O20060410000616

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. David J Waddell 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
David J Waddell, MD 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 Ph: (573) 468-4186	David J Waddell, MD 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 Ph: (573) 468-4186

David J Waddell, MD - Medicare Hospitalist in Sullivan, MO