William Lowe Waller Iii, MD - Medicare Dermatology in Hattiesburg, MS

William Lowe Waller Iii, MD is a medicare enrolled "Dermatology" physician in Hattiesburg, Mississippi. He went to University Of Mississippi School Of Medicine and graduated in 2006 and has 18 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Hattiesburg Clinic, Pa and his current practice location is 3 Thompson Park, Hattiesburg, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 579-3130.

William Lowe Waller Iii is licensed to practice in Mississippi (license number 21371) 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 1053592840.

Contact Information

William Lowe Waller Iii, MD
3 Thompson Park,
Hattiesburg, MS 39401-8202
(601) 579-3130
(601) 264-5092

Map and Direction




Physician's Profile

Full NameWilliam Lowe Waller Iii
GenderMale
SpecialityDermatology
Experience18 Years
Location3 Thompson Park, Hattiesburg, Mississippi
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • William Lowe Waller Iii attended and graduated from University Of Mississippi School Of Medicine in 2006
  NPI Data:
  • NPI Number: 1053592840
  • Provider Enumeration Date: 11/20/2007
  • Last Update Date: 08/03/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6204916695
  • Enrollment ID: I20111019000077

Medical Identifiers

Medical identifiers for William Lowe Waller Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053592840NPI-NPPES
9789697OtherMSAETNA
05471708MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology MD.201654 (Louisiana)Secondary
207N00000XDermatology 21371 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Forrest General HospitalHattiesburg, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hattiesburg Clinic, Pa5193706794483

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. William Lowe Waller Iii allows following entities to bill medicare on his behalf.
Entity NameHattiesburg Clinic Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740213446
PECOS PAC ID: 5193706794
Enrollment ID: O20040528000685

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. William Lowe Waller Iii 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 AddressPractice Location Address
William Lowe Waller Iii, MD
415 S 28th Ave,
Hattiesburg, MS 39401-7246

Ph: (601) 579-3130
William Lowe Waller Iii, MD
3 Thompson Park,
Hattiesburg, MS 39401-8202

Ph: (601) 579-3130

Reviews and Comments


Dermatology Doctors in Hattiesburg, MS

Steven C Shapiro, MD
Dermatology
Medicare: Medicare Enrolled
Practice Location: 323 Woodshire Dr, Hattiesburg, MS 39402
Phone: 601-434-3938    
Stephen L Conerly, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 104 Asbury Cir, Hattiesburg, MS 39402
Phone: 601-268-5252    Fax: 601-268-5190
Mark A Gallardo, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 104 Asbury Cir, Hattiesburg, MS 39402
Phone: 601-268-5252    Fax: 601-268-5190
Dr. Rebecca Duff, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 40 Franklin Rd, Hattiesburg, MS 39402
Phone: 601-296-3405    Fax: 601-296-3409
Maureen Offiah, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 104 Asbury Cir, Hattiesburg, MS 39402
Phone: 601-268-5252    Fax: 601-579-5240
Elizabeth Reagan Francis Rose, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 3 Thompson Park, Hattiesburg, MS 39401
Phone: 601-579-3130    Fax: 601-544-3688

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.