Dr Ephraim Isaac Thaller, is a medicare enrolled "Allergy & Immunology" physician in Waco, Texas. He went to Texas A & M University System, Hsc, College Of Medicine and graduated in 2000 and has 24 years of diverse experience with area of expertise as Allergy/immunology. He is a member of the group practice Allergy And Asthma Center Pa and his current practice location is
333 Londonderry Dr, Suite 100, Waco, Texas. You can reach out to his office (for appointments etc.) via phone at
(254) 751-1144.
Dr Ephraim Isaac Thaller is licensed to practice in Texas (license number L4144) 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 1245285022.
Physician's Profile
Full Name | Dr Ephraim Isaac Thaller |
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Gender | Male |
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Speciality | Allergy/immunology |
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Experience | 24 Years |
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Location | 333 Londonderry Dr, Waco, Texas |
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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:
- Dr Ephraim Isaac Thaller attended and graduated from Texas A & M University System, Hsc, College Of Medicine in 2000
NPI Data:
- NPI Number: 1245285022
- Provider Enumeration Date: 05/23/2006
- Last Update Date: 12/27/2021
Medicare PECOS Information:
- PECOS PAC ID: 4789695461
- Enrollment ID: I20060509000625
Medical Identifiers
Medical identifiers for Dr Ephraim Isaac Thaller such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245285022 | NPI | - | NPPES |
180355301 | Medicaid | TX | |
00712N | Other | TX | MEDICARE GROUP PTAN |
P00428353 | Other | | RAILROAD MEDICARE |
151825100 | Other | | FIRST CARE |
8V9670 | Other | | BCBS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207KA0200X | Allergy & Immunology - Allergy | L4144 (Texas) | Secondary |
207K00000X | Allergy & Immunology | L4144 (Texas) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Allergy And Asthma Center Pa | 6507885902 | 3 |
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 Ephraim Isaac Thaller allows following entities to bill medicare on his behalf.
Entity Name | Allergy & Asthma Center Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1124125117 PECOS PAC ID: 6507885902 Enrollment ID: O20051115000704 |
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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. Dr Ephraim Isaac Thaller 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 |
Dr Ephraim Isaac Thaller, 333 Londonderry Dr, Suite 100, Waco, TX 76712-7900 Ph: (254) 751-1144 | Dr Ephraim Isaac Thaller, 333 Londonderry Dr, Suite 100, Waco, TX 76712-7900 Ph: (254) 751-1144 |
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