Emanuel Montez Waddell, is a medicare enrolled "Nurse Practitioner - Family" in Wakefield, Virginia. He went to Uniformed Services Uhs Fe Hebert School Of Med and graduated in 2018 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Sentara Medical Group and his current practice location is
109 Railroad Ave, Wakefield, Virginia. You can reach out to his office (for appointments etc.) via phone at
(757) 312-8730.
Emanuel Montez Waddell is licensed to practice in Virginia (license number 0024191239) 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 1760835342.
Provider's Profile
| Full Name | Emanuel Montez Waddell |
|---|
| Gender | Male |
|---|
| Speciality | Nurse Practitioner |
|---|
| Experience | 7 Years |
|---|
| Location | 109 Railroad Ave, Wakefield, Virginia |
|---|
| 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:
- Emanuel Montez Waddell attended and graduated from Uniformed Services Uhs Fe Hebert School Of Med in 2018
NPI Data:
- NPI Number: 1760835342
- Provider Enumeration Date: 07/19/2016
- Last Update Date: 05/22/2025
Medicare PECOS Information:
- PECOS PAC ID: 0840706362
- Enrollment ID: I20250722002247
Medical Identifiers
Medical identifiers for Emanuel Montez Waddell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760835342 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 790297 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP138266 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 0024191239 (Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Sentara Medical Group | 8921903923 | 1200 |
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. Emanuel Montez Waddell 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 |
|---|
Emanuel Montez Waddell,
109 Railroad Ave,
Wakefield, VA 23888
Ph: (757) 312-8730 | Emanuel Montez Waddell,
109 Railroad Ave,
Wakefield, VA 23888-0097
Ph: (757) 312-8730 |
Reviews and Comments