Jerome H Waller Jr, MD in Liberty, SC - Medicare Family Practice

Jerome H Waller Jr, MD is a medicare enrolled "Family Medicine" physician in Liberty, South Carolina. He went to University Of Kentucky College Of Medicine and graduated in 1992 and has 32 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Prisma Health University Medical Group and his current practice location is 300 W Front St, Liberty, South Carolina. You can reach out to his office (for appointments etc.) via phone at (864) 843-5605.

Jerome H Waller Jr is licensed to practice in South Carolina (license number 016611) 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 1043262868.

Contact Information

	Jerome H Waller Jr, MD
	300 W Front St, Liberty, SC 29657-1012
	(864) 843-5605
	(864) 843-0996

Map and Direction

Physician's Profile

Full Name	Jerome H Waller Jr
Gender	Male
Speciality	Family Practice
Experience	32 Years
Location	300 W Front St, Liberty, South Carolina
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:

Jerome H Waller Jr attended and graduated from University Of Kentucky College Of Medicine in 1992

NPI Data:

NPI Number: 1043262868
Provider Enumeration Date: 05/17/2006
Last Update Date: 06/30/2021

Medicare PECOS Information:

PECOS PAC ID: 9335287234
Enrollment ID: I20091113000379

Medical Identifiers

Medical identifiers for Jerome H Waller Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043262868	NPI	-	NPPES
166117	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	016611 (South Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Prisma Health Home Health-upstate	Greenville, SC	Home health agency
Prisma Health Baptist Easley Hospital	Easley, SC	Hospital
Prisma Health Greenville Memorial Hospital	Greenville, SC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Prisma Health University Medical Group	8325950983	2201

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. Jerome H Waller Jr allows following entities to bill medicare on his behalf.

Entity Name	Prisma Health University Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238

Entity Name	Baptist Easley Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144452889 PECOS PAC ID: 0840337606 Enrollment ID: O20091027000684

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. Jerome H Waller Jr 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
Jerome H Waller Jr, MD 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 522-8603	Jerome H Waller Jr, MD 300 W Front St, Liberty, SC 29657-1012 Ph: (864) 843-5605

Reviews and Comments

Family Medicine Doctors in Liberty, SC

Mark D Walsh, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 W Front St, Liberty, SC 29657 Phone: 864-843-5605 Fax: 864-843-0996
Lori R Carnsew, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 300 W Front St, Liberty, SC 29657 Phone: 864-843-5605 Fax: 864-843-0996
Travis W Davis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 105 Liberty Blvd, Liberty, SC 29657 Phone: 864-843-9213
Dr. John Randolph, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 105 Liberty Blvd, Liberty, SC 29657 Phone: 864-843-8500 Fax: 864-843-5634

Jerome H Waller Jr, MD - Medicare Family Practice in Liberty, SC