Katherine Elizabeth Thaller, MD - Medicare Pediatrics in Waco, TX

Katherine Elizabeth Thaller, MD is a medicare enrolled "Pediatrics" physician in Waco, Texas. Her current practice location is 120 Hillcrest Medical Blvd Ste 100, Waco, Texas. You can reach out to her office (for appointments etc.) via phone at (254) 202-6100.

Katherine Elizabeth Thaller is licensed to practice in Texas (license number L4145) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1144632530.

Contact Information

Katherine Elizabeth Thaller, MD
120 Hillcrest Medical Blvd Ste 100,
Waco, TX 76712-8949
(254) 202-6100
(254) 202-6195



Physician's Profile

Full NameKatherine Elizabeth Thaller
GenderFemale
SpecialityPediatrics
Location120 Hillcrest Medical Blvd Ste 100, Waco, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1144632530
  • Provider Enumeration Date: 05/20/2014
  • Last Update Date: 12/30/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 0042437105
  • Enrollment ID: I20140813001538

Medical Identifiers

Medical identifiers for Katherine Elizabeth Thaller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144632530NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics L4145 (Texas)Primary

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. Katherine Elizabeth Thaller allows following entities to bill medicare on her behalf.
Entity NameHillcrest Family Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891796694
PECOS PAC ID: 4183612278
Enrollment ID: O20040505001729

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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. Katherine Elizabeth Thaller 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 AddressPractice Location Address
Katherine Elizabeth Thaller, MD
Po Box 848476,
Dallas, TX 75284-8476

Ph: (254) 202-4655
Katherine Elizabeth Thaller, MD
120 Hillcrest Medical Blvd Ste 100,
Waco, TX 76712-8949

Ph: (254) 202-6100

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Pediatrics Doctors in Waco, TX

Dr. Mark A Lorenzen, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 301b Richland West Cir, Waco, TX 76712
Phone: 254-772-2722    Fax: 254-772-4075
Dr. Priyadarshini Srinivasan, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 120 Hillcrest Medical Blvd Ste 200, Waco, TX 76712
Phone: 254-297-0400    Fax: 254-297-0404
Brian Edward Barkley, D.O.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 120 Hillcrest Medical Blvd Ste 100, Waco, TX 76712
Phone: 254-202-6100    Fax: 254-202-6195
Dr. Darrell Stafford Wheeler, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 100 Hillcrest Baptist Medical Blvd., Waco, TX 76712
Phone: 254-202-2911    Fax: 254-202-2919
Oluwarotimi Oluwakemi Adesina, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 7125 New Sanger Ave Ste 516, Waco, TX 76712
Phone: 254-752-9638    
Dr. Cessley Marsellus, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 120 Hillcrest Medical Blvd, Waco, TX 76712
Phone: 254-297-0400    

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