Kaci Waller, C-AA in Marietta, GA - Medicare Anesthesiologist Assistant

Kaci Waller, C-AA is a medicare enrolled "Anesthesiologist Assistant" in Marietta, Georgia. Her current practice location is 2637 Arbor Glen Pl, Marietta, Georgia. You can reach out to her office (for appointments etc.) via phone at (229) 589-7427.

Kaci Waller is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1972219442.

Contact Information

	Kaci Waller, C-AA
	2637 Arbor Glen Pl, Marietta, GA 30066-4274
	(229) 589-7427
	Not Available

Map and Direction

Provider's Profile

Full Name	Kaci Waller
Gender	Female
Speciality	Anesthesiologist Assistant
Location	2637 Arbor Glen Pl, Marietta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972219442
Provider Enumeration Date: 01/27/2023
Last Update Date: 01/27/2023

Medicare PECOS Information:

PECOS PAC ID: 0244698801
Enrollment ID: I20230614002707

Medical Identifiers

Medical identifiers for Kaci Waller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972219442	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367H00000X	Anesthesiologist Assistant	(* (Not Available))	Primary

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. Kaci Waller allows following entities to bill medicare on her behalf.

Entity Name	Ams Southeast Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487107157 PECOS PAC ID: 3870880792 Enrollment ID: O20160921000551

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. Kaci 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
Kaci Waller, C-AA 2637 Arbor Glen Pl, Marietta, GA 30066-4274 Ph: () -	Kaci Waller, C-AA 2637 Arbor Glen Pl, Marietta, GA 30066-4274 Ph: (229) 589-7427

Reviews and Comments

Anesthesiologist Assistant Nurses in Marietta, GA

Whitney Morrow, Anesthesiologist Assistant Medicare: May Accept Medicare Assignments Practice Location: 531 Roselane St Nw, Suite 750, Marietta, GA 30060 Phone: 770-794-0477
Matthew D Carpenter, AAC Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-794-0477 Fax: 770-794-3108
Eva Silvey Leonard, PAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2540 Windy Hill Rd Se, Marietta, GA 30067 Phone: 770-644-1274
Luke Wilkins, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-794-0477 Fax: 770-794-3108
Jordan Batson Cawley, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-793-5000
Mrs. Amber Toman, PAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-794-0477
Mary Curran Dewyngaert, PA-AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-794-0477 Fax: 770-794-3108

Kaci Waller, C-AA - Medicare Anesthesiologist Assistant in Marietta, GA