Kaylee Waller, CRNA - Medicare Nurse Anesthetist, Certified Registered in Dallas, TX

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Kaylee Waller, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Dallas, Texas. Her current practice location is 14850 Quorum Dr Ste 400, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at (469) 437-3564.

Kaylee Waller is licensed to practice in Texas (license number 742739) 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 1356762728.

Contact Information

Kaylee Waller, CRNA
14850 Quorum Dr Ste 400,
Dallas, TX 75254-1445
(469) 437-3564
(469) 825-6903

Map and Direction




Provider's Profile

Full NameKaylee Waller
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location14850 Quorum Dr Ste 400, Dallas, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1356762728
  • Provider Enumeration Date: 01/02/2014
  • Last Update Date: 10/10/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5395968820
  • Enrollment ID: I20140602000336

Medical Identifiers

Medical identifiers for Kaylee Waller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356762728NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 100315 (Texas)Secondary
367500000XNurse Anesthetist, Certified Registered 742739 (North Carolina)Secondary
367500000XNurse Anesthetist, Certified Registered 742739 (Texas)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. Kaylee Waller allows following entities to bill medicare on her behalf.
Entity NameU S Anesthesia Partners Of Texas, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548208564
PECOS PAC ID: 7315850351
Enrollment ID: O20031106000563
Entity NameCook Childrens Physician Network
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750369203
PECOS PAC ID: 7719884584
Enrollment ID: O20040128000800
Entity NameSpine Team Texas Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629082995
PECOS PAC ID: 6507888757
Enrollment ID: O20051230000616
Entity NamePremier Interventional Pain Management Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134453129
PECOS PAC ID: 7012043961
Enrollment ID: O20100330000663
Entity NamePremier Anesthesia Of Huntsville A Division Of Premier Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346570355
PECOS PAC ID: 7012045685
Enrollment ID: O20100503000712
Entity NameYoungs Professional Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922178599
PECOS PAC ID: 2163524992
Enrollment ID: O20120104000614
Entity NameValiant Anesthesia Associates, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588906812
PECOS PAC ID: 5092956243
Enrollment ID: O20130730000861
Entity NameEagle Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891151478
PECOS PAC ID: 5092083998
Enrollment ID: O20170619000733
Entity NameOrthomed Staffing Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225514276
PECOS PAC ID: 9638429178
Enrollment ID: O20180905000794
Entity NameRpm Anesthesia, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669022786
PECOS PAC ID: 6901238443
Enrollment ID: O20191121000648
Entity NameSynergy Anesthesia Management
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780251595
PECOS PAC ID: 6406252246
Enrollment ID: O20210902002074

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. Kaylee 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 AddressPractice Location Address
Kaylee Waller, CRNA
14850 Quorum Dr Ste 400,
Dallas, TX 75254-1445

Ph: (469) 437-3564		Kaylee Waller, CRNA
14850 Quorum Dr Ste 400,
Dallas, TX 75254-1445

Ph: (469) 437-3564

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Dallas, TX

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Lauren Carter Segerson, CRNA
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Abigail Pinto Wood, CRNA
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Hannah Neipp Murdock, CRNA
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Medicare: Accepting Medicare Assignments
Practice Location: 12222 Merit Dr Ste 600, Dallas, TX 75251
Phone: 972-715-5000    Fax: 972-715-9976

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.