Mrs Holli Dezaun Waller, DO in Blacksburg, VA

Mrs Holli Dezaun Waller, DO is a medicare enrolled "Family Medicine" physician in Blacksburg, Virginia. Her current practice location is 3700 South Main Street, Blacksburg, Virginia. You can reach out to her office (for appointments etc.) via phone at (540) 953-5445.

Mrs Holli Dezaun Waller is licensed to practice in Virginia (license number 0116022785) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1053622167.

Contact Information

	Mrs Holli Dezaun Waller, DO
	3700 South Main Street, Blacksburg, VA 24060
	(540) 953-5445
	(540) 953-5453

Map and Direction

Physician's Profile

Full Name	Mrs Holli Dezaun Waller
Gender	Female
Speciality
Experience	Years
Location	3700 South Main Street, Blacksburg, Virginia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Holli Dezaun Waller attended and graduated from in

NPI Data:

NPI Number: 1053622167
Provider Enumeration Date: 06/24/2010
Last Update Date: 06/24/2010

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Mrs Holli Dezaun Waller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053622167	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	0116022785 (Virginia)	Primary

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. Mrs Holli Dezaun 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
Mrs Holli Dezaun Waller, DO 6326 Stonewood Pointe Ln., Houston, TX 77066 Ph: (281) 300-9849	Mrs Holli Dezaun Waller, DO 3700 South Main Street, Blacksburg, VA 24060 Ph: (540) 953-5445

Reviews and Comments

Family Medicine Doctors in Blacksburg, VA

Hannah Byrd Depoy-pratt, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 901 Plantation Rd Ste 1, Blacksburg, VA 24060 Phone: 540-951-0352
Dr. Michael Howard Clary, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3700 S Main St, Suite A, Blacksburg, VA 24060 Phone: 540-443-7187 Fax: 540-443-7182
David Woodson, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 215 Gilbert St, Blacksburg, VA 24060 Phone: 540-961-8040 Fax: 540-961-9466
Pete A. Guerra, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2401 S Main St Ste D, Blacksburg, VA 24060 Phone: 540-418-1910
Crystal Downer, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3700 S Main St Ste 1a, Blacksburg, VA 24060 Phone: 540-443-7180 Fax: 540-443-3725
Andrea Lynn Hall, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1645 North Main Street, Blacksburg, VA 24060 Phone: 540-552-1246 Fax: 540-552-1247

Mrs Holli Dezaun Waller, DO - Medicare in Blacksburg, VA