Dr Kenneth William Waller, MD in Hampton, VA - Medicare Psychiatry & Neurology

Dr Kenneth William Waller, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Hampton, Virginia. His current practice location is 100 Emancipation Dr, Hampton, Virginia. You can reach out to his office (for appointments etc.) via phone at (757) 722-9961.

Dr Kenneth William Waller is licensed to practice in Virginia (license number 0101040108) 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 1518921238.

Contact Information

	Dr Kenneth William Waller, MD
	100 Emancipation Dr, Hampton, VA 23667-0001
	(757) 722-9961
	(757) 726-6078

Physician's Profile

Full Name	Dr Kenneth William Waller
Gender	Male
Speciality	Psychiatry & Neurology - Neurology
Location	100 Emancipation Dr, Hampton, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518921238
Provider Enumeration Date: 04/12/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 1759516479
Enrollment ID: I20131104001479

Medical Identifiers

Medical identifiers for Dr Kenneth William Waller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518921238	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2081P0004X	Physical Medicine & Rehabilitation - Spinal Cord Injury Medicine	0101040108 (Virginia)	Primary
2084N0400X	Psychiatry & Neurology - Neurology	0101040108 (Virginia)	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. Dr Kenneth William 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
Dr Kenneth William Waller, MD 100 Emancipation Dr, Hampton, VA 23667-0001 Ph: (757) 722-9961	Dr Kenneth William Waller, MD 100 Emancipation Dr, Hampton, VA 23667-0001 Ph: (757) 722-9961

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Psychiatry & Neurology Doctors in Hampton, VA

Jose Edwin Nieves, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 100 Emancipation Dr, Hampton, VA 23667 Phone: 757-722-9961 Fax: 757-728-3174
Ahmed Jahangeer, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2244 Executive Dr, Hampton, VA 23666 Phone: 757-827-1001
Joselito Bartolome Morales, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 200 Medical Dr, Suite A, Hampton, VA 23666 Phone: 757-788-0200 Fax: 757-788-0950
Dr. Zakia D Bell, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4000 Coliseum Dr Ste 200, Hampton, VA 23666 Phone: 757-736-8050 Fax: 757-736-8080
Lisa Mensch, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 200 Medical Dr, Hampton, VA 23666 Phone: 757-788-0300 Fax: 757-788-0300
Dr. Joseph P. San Clemente, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: Va Medical Center, 100 Emancipation Dr, Hampton, VA 23667 Phone: 757-722-9961 Fax: 757-728-3187
Dr. Mukesh Harilal Shah, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Dr, Suite A & B, Hampton, VA 23666 Phone: 757-788-0200 Fax: 757-788-0950

Dr Kenneth William Waller, MD - Medicare Psychiatry & Neurology in Hampton, VA