Blaise Waller, DO in Des Moines, IA - Medicare Family Medicine

Blaise Waller, DO is a medicare enrolled "Family Medicine" physician in Des Moines, Iowa. His current practice location is 1801 Hickman Rd, Des Moines, Iowa. You can reach out to his office (for appointments etc.) via phone at (515) 282-5640.

Blaise Waller is licensed to practice in Iowa (license number R-12276) 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 1225607500.

Contact Information

	Blaise Waller, DO
	1801 Hickman Rd, Des Moines, IA 50314-1597
	(515) 282-5640
	(515) 282-2332

Physician's Profile

Full Name	Blaise Waller
Gender	Male
Speciality	Family Medicine
Location	1801 Hickman Rd, Des Moines, Iowa
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225607500
Provider Enumeration Date: 06/22/2021
Last Update Date: 06/22/2021

Medicare PECOS Information:

PECOS PAC ID: 7315348034
Enrollment ID: I20210701000481

Medical Identifiers

Medical identifiers for Blaise Waller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225607500	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	R-12276 (Iowa)	Primary

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. Blaise 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
Blaise Waller, DO 1801 Hickman Rd, Des Moines, IA 50314-1597 Ph: (515) 282-5640	Blaise Waller, DO 1801 Hickman Rd, Des Moines, IA 50314-1597 Ph: (515) 282-5640

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Family Medicine Doctors in Des Moines, IA

Neetha Molakala, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 University Ave, Suite 120, Des Moines, IA 50314 Phone: 515-248-1500 Fax: 515-248-1510
Matthew Helmick Williams, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1801 Hickman Rd, Des Moines, IA 50314 Phone: 515-282-5640 Fax: 515-282-2332
Todd Eberle, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1111 6th Ave, Des Moines, IA 50314 Phone: 515-643-8678 Fax: 515-643-5802
Evan Douglas Peterson, PA-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6520 Se 14th St, Des Moines, IA 50320 Phone: 515-953-1500 Fax: 515-953-2136
April Winters, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2353 Se 14th St, Des Moines, IA 50320 Phone: 515-248-1400 Fax: 515-248-1414
Kelli A Roenfanz, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 840 East University Avenue, Des Moines, IA 50316 Phone: 515-265-4211 Fax: 515-309-5993
Dr. Sarah Sweeney Gude, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3509 E 29th St, Des Moines, IA 50317 Phone: 515-248-1600 Fax: 515-248-1610

Blaise Waller, DO - Medicare Family Medicine in Des Moines, IA