Mr Dudley M Waddle, NP in Merced, CA - Medicare Nurse Practitioner

Mr Dudley M Waddle, NP is a medicare enrolled "Nurse Practitioner - Family" in Merced, California. His current practice location is 727 W Childs Ave, Merced, California. You can reach out to his office (for appointments etc.) via phone at (209) 724-6000.

Mr Dudley M Waddle is licensed to practice in California (license number 95006659) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1942520705.

Contact Information

	Mr Dudley M Waddle, NP
	727 W Childs Ave, Merced, CA 95341-6805
	(209) 724-6000
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Dudley M Waddle
Gender	Male
Speciality	Nurse Practitioner - Family
Location	727 W Childs Ave, Merced, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942520705
Provider Enumeration Date: 06/03/2010
Last Update Date: 07/06/2026

Medicare PECOS Information:

PECOS PAC ID: 0648416800
Enrollment ID: I20160505001333

Medical Identifiers

Medical identifiers for Mr Dudley M Waddle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942520705	NPI	-	NPPES
NP2575	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95006659 (California)	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. Mr Dudley M Waddle allows following entities to bill medicare on his behalf.

Entity Name	Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083643738 PECOS PAC ID: 1759290901 Enrollment ID: O20031105000797

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. Mr Dudley M Waddle 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
Mr Dudley M Waddle, NP 1659 Chenoweth Cir, Knoxville, TN 37909-1917 Ph: (865) 321-0009	Mr Dudley M Waddle, NP 727 W Childs Ave, Merced, CA 95341-6805 Ph: (209) 724-6000

Reviews and Comments

Nurse Practitioner Nurses in Merced, CA

Mrs. Rubirosa Cervantes Arandia, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3389 G St, Merced, CA 95340 Phone: 209-384-9401
Raj Kumar Sharma, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 360 E Yosemite Ave Ste 200, Merced, CA 95340 Phone: 209-354-4675 Fax: 209-354-4681
Mary Alice Hintenach, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 315 E 13th St, Merced, CA 95340 Phone: 209-385-7060 Fax: 209-385-7017
Mrs. Amanda Eliza Gibson, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 315 E 13th St, Merced, CA 95341 Phone: 209-564-4500
Ms. Gina Leisha Broussard, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3349 G St Ste F, Merced, CA 95340 Phone: 209-349-8459 Fax: 209-580-4671
Deirdre Alice Mazzetto, NP, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 220 E 13th St, Merced, CA 95341 Phone: 209-723-2122
Miss Rashilda Ayanna Storm, MSN, AGPCNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 857 W Childs Ave, Geriatrics, Merced, CA 95341 Phone: 209-385-5600 Fax: 209-385-5674

Mr Dudley M Waddle, NP - Medicare Nurse Practitioner in Merced, CA