Mr Edward Nicholas Waller, FNP-BC in Cambridge, MA

Mr Edward Nicholas Waller, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Cambridge, Massachusetts. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Massachusetts Institute Of Technology and his current practice location is 25 Carleton St, Cambridge, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (617) 253-4481.

Mr Edward Nicholas Waller is licensed to practice in Massachusetts (license number RN2306059) 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 1124672118.

Contact Information

	Mr Edward Nicholas Waller, FNP-BC
	25 Carleton St, Cambridge, MA 02142-1323
	(617) 253-4481
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Edward Nicholas Waller
Gender	Male
Speciality	Nurse Practitioner
Experience	5 Years
Location	25 Carleton St, Cambridge, Massachusetts
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:

Mr Edward Nicholas Waller graduated from nursing school in 2019

NPI Data:

NPI Number: 1124672118
Provider Enumeration Date: 07/29/2019
Last Update Date: 07/29/2019

Medicare PECOS Information:

PECOS PAC ID: 7517392764
Enrollment ID: I20200115002180

Medical Identifiers

Medical identifiers for Mr Edward Nicholas Waller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124672118	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN2306059 (Massachusetts)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Massachusetts Institute Of Technology	5597658666	52

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 Edward Nicholas Waller allows following entities to bill medicare on his behalf.

Entity Name	Massachusetts Institute Of Technology
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346308723 PECOS PAC ID: 5597658666 Enrollment ID: O20040203000789

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 Edward Nicholas 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
Mr Edward Nicholas Waller, FNP-BC 53 N Gate Park, Newton, MA 02465-1645 Ph: (603) 851-4379	Mr Edward Nicholas Waller, FNP-BC 25 Carleton St, Cambridge, MA 02142-1323 Ph: (617) 253-4481

Reviews and Comments

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Mr Edward Nicholas Waller, FNP-BC - Medicare Nurse Practitioner in Cambridge, MA