Dr Marilyn J Waller-niewold, DPM is a
Podiatrist - Foot & Ankle Surgery based in Warm Springs, Oregon. Dr Marilyn J Waller-niewold is licensed to practice in Oregon (license number DP00352) and her current practice location is
1270 Kot-num Road, Box 1209, Warm Springs, Oregon. She can be reached at her office (for appointments etc.) via phone at
(541) 553-1196.
NPI number for Dr Marilyn J Waller-niewold is 1568465177 and her current mailing address is 1270 Kot-num Road, Box 1209, Warm Springs, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1568465177.
Healthcare Provider's Profile
| Full Name | Dr Marilyn J Waller-niewold |
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| Gender | Female |
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| Speciality | Podiatrist - Foot & Ankle Surgery |
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| Location | 1270 Kot-num Road, Box 1209, Warm Springs, Oregon |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1568465177
- Provider Enumeration Date: 05/27/2005
- Last Update Date: 06/14/2011
Medical Identifiers
Medical identifiers for Dr Marilyn J Waller-niewold such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568465177 | NPI | - | NPPES |
| 0407825 | Medicaid | CA | |
| 273855 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | DP00352 (Oregon) | Primary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | E3808 (California) | Secondary |
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 Marilyn J Waller-niewold is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Marilyn J Waller-niewold, DPM
1270 Kot-num Road, Box 1209,
Warm Springs, OR 98861
Ph: (541) 553-1196 | Dr Marilyn J Waller-niewold, DPM
1270 Kot-num Road, Box 1209,
Warm Springs, OR 98861
Ph: (541) 553-1196 |
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