Dr Kenneth William Waller, MD in Hampton, VA - Medicare Physical Medicine & Rehabilitation

Dr Kenneth William Waller, MD is a medicare enrolled "Physical Medicine & Rehabilitation - Spinal Cord Injury Medicine" physician in Hampton, Virginia. His current practice location is 100 Emancipation Dr, Hampton, Virginia. You can reach out to his office (for appointments etc.) via phone at (757) 722-9961.

Dr Kenneth William Waller is licensed to practice in Virginia (license number 0101040108) 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 1518921238.

Contact Information

	Dr Kenneth William Waller, MD
	100 Emancipation Dr, Hampton, VA 23667-0001
	(757) 722-9961
	(757) 726-6078

Map and Direction

Physician's Profile

Full Name	Dr Kenneth William Waller
Gender	Male
Speciality	Physical Medicine & Rehabilitation - Spinal Cord Injury Medicine
Location	100 Emancipation Dr, Hampton, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518921238
Provider Enumeration Date: 04/12/2006
Last Update Date: 09/11/2025

Medicare PECOS Information:

PECOS PAC ID: 1759516479
Enrollment ID: I20131104001479

Medical Identifiers

Medical identifiers for Dr Kenneth William Waller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518921238	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2081P0004X	Physical Medicine & Rehabilitation - Spinal Cord Injury Medicine	0101040108 (Virginia)	Primary
2084N0400X	Psychiatry & Neurology - Neurology	0101040108 (Virginia)	Secondary

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 Kenneth William 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
Dr Kenneth William Waller, MD 100 Emancipation Dr, Hampton, VA 23667-0001 Ph: (757) 722-9961	Dr Kenneth William Waller, MD 100 Emancipation Dr, Hampton, VA 23667-0001 Ph: (757) 722-9961

Reviews and Comments

Physical Medicine & Rehabilitation Doctors in Hampton, VA

Dontonio Garrison, LAT, ATC Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 100 E Queen St, Hampton, VA 23668 Phone: 336-906-3342
Dr. Therese P Montoya, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 100 Emancipation Dr, Hampton, VA 23667 Phone: 757-722-9961
Dr. Laurie Lindblom, M.D. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 100 Emancipation Dr, 128, Hampton, VA 23667 Phone: 757-722-9961 Fax: 757-726-6078
Dr. Mohamed Vazquez, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: Department Of Veterans Affairs Medical Ctr, 100 Emancipation Drive, Hampton, VA 23667 Phone: 757-728-7008 Fax: 757-726-6013
Dr. Alexandra Grace Davis, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 100 Emancipation Dr Hampton Va Medical Center, Hampton, VA 23667 Phone: 757-722-9961
Dr. Jamal Ghazinour, M.D02/0 Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 100 Emancipation Dr, Hampton, VA 23667 Phone: 757-722-9961
Wesley E Landfear, MPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 100 Emancipation Dr, Hampton, VA 23667 Phone: 757-722-9961

Dr Kenneth William Waller, MD - Medicare Physical Medicine & Rehabilitation in Hampton, VA