Dr Giacomo Colver Waller, MD is a medicare enrolled "Surgery" physician in Ny, New York. He went to Emory University School Of Medicine and graduated in 2018 and has 8 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Icahn School Of Medicine At Mount Sinai and his current practice location is
19 E 98th St, 7th Fl, Ste A, Box #1259, Ny, New York. You can reach out to his office (for appointments etc.) via phone at
(212) 241-0949.
Dr Giacomo Colver Waller is licensed to practice in New York (license number 322610) 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 1801391438.
Physician's Profile
| Full Name | Dr Giacomo Colver Waller |
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| Gender | Male |
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| Speciality | General Surgery |
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| Experience | 8 Years |
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| Location | 19 E 98th St, 7th Fl, Ny, New York |
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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. |
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Medical Education and Training:
- Dr Giacomo Colver Waller attended and graduated from Emory University School Of Medicine in 2018
NPI Data:
- NPI Number: 1801391438
- Provider Enumeration Date: 03/26/2018
- Last Update Date: 07/23/2023
Medicare PECOS Information:
- PECOS PAC ID: 3375892656
- Enrollment ID: I20250731001068
Medical Identifiers
Medical identifiers for Dr Giacomo Colver Waller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1801391438 | NPI | - | NPPES |
| 125.077143 | Other | IL | ILLINOISE DFPR |
| 322610 | Other | NY | NEW YORK STATE EDUCATION DEPARTMENT OFFICE OF THE PROFESSIONS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 125.077143 (Illinois) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 125.077143 (Illinois) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (Georgia) | Secondary |
| 208600000X | Surgery | 322610 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Icahn School Of Medicine At Mount Sinai | 8224282926 | 333 |
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 Giacomo Colver 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 |
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Dr Giacomo Colver Waller, MD
19 E 98th St, 7th Fl, Ste A, Box #1259,
Ny, NY 10029-6574
Ph: (212) 241-0949 | Dr Giacomo Colver Waller, MD
19 E 98th St, 7th Fl, Ste A, Box #1259,
Ny, NY 10029-6574
Ph: (212) 241-0949 |
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