Dr Brett Joseph Waverly, DPM is a medicare enrolled "Podiatrist" provider in Corvallis, Oregon. He went to Western Un Of Hlth Sciences, Col Of Podiatric Med and graduated in 2013 and has 11 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Corvallis Clinic Pc and his current practice location is
3680 Nw Samaritan Dr, Corvallis, Oregon. You can reach out to his office (for appointments etc.) via phone at
(417) 541-1505.
Dr Brett Joseph Waverly is licensed to practice in Oregon (license number DP201954) 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 1902241268.
Healthcare Provider's Profile
| Full Name | Dr Brett Joseph Waverly |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 11 Years |
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| Location | 3680 Nw Samaritan Dr, Corvallis, Oregon |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Brett Joseph Waverly attended and graduated from Western Un Of Hlth Sciences, Col Of Podiatric Med in 2013
NPI Data:
- NPI Number: 1902241268
- Provider Enumeration Date: 05/01/2013
- Last Update Date: 11/12/2020
Medicare PECOS Information:
- PECOS PAC ID: 4082907845
- Enrollment ID: I20201125002537
Medical Identifiers
Medical identifiers for Dr Brett Joseph Waverly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902241268 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213E00000X | Podiatrist | 016005725 (Illinois) | Secondary |
| 213E00000X | Podiatrist | 1085-25 (Wisconsin) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | DP201954 (Oregon) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 016005725 (Illinois) | Secondary |
| 213E00000X | Podiatrist | DP201954 (Oregon) | Primary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 1085-25 (Wisconsin) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Corvallis Clinic Pc | 1456244540 | 105 |
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. Dr Brett Joseph Waverly allows following entities to bill medicare on his behalf.
| Provider Name | Corvallis Clinic Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1649227265
PECOS PAC ID: 1456244540
Enrollment ID: O20040203000916 |
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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. Dr Brett Joseph Waverly 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 |
|---|
Dr Brett Joseph Waverly, DPM
444 Nw Elks Dr,
Corvallis, OR 97330-3758
Ph: (541) 754-1150 | Dr Brett Joseph Waverly, DPM
3680 Nw Samaritan Dr,
Corvallis, OR 97330-3737
Ph: (417) 541-1505 |
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