Samuel Thomas Dunn Waller, MD - Medicare Neurosurgery in Anchorage, AK

Samuel Thomas Dunn Waller, MD is a medicare enrolled "Neurological Surgery" physician in Anchorage, Alaska. He went to Georgetown University School Of Medicine and graduated in 2008 and has 16 years of diverse experience with area of expertise as Neurosurgery. He is a member of the group practice Coastal Neurology And Neurosurgery Inc, Select Physical Therapy Holdings Inc and his current practice location is 4100 Lake Otis Pkwy Ste 320, Anchorage, Alaska. You can reach out to his office (for appointments etc.) via phone at (907) 563-4810.

Samuel Thomas Dunn Waller is licensed to practice in Colorado (license number XXXXXXXXX) 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 1053583211.

Contact Information

Samuel Thomas Dunn Waller, MD
4100 Lake Otis Pkwy Ste 320,
Anchorage, AK 99508-5231
(907) 563-4810
(907) 563-4811



Physician's Profile

Full NameSamuel Thomas Dunn Waller
GenderMale
SpecialityNeurosurgery
Experience16 Years
Location4100 Lake Otis Pkwy Ste 320, Anchorage, Alaska
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Samuel Thomas Dunn Waller attended and graduated from Georgetown University School Of Medicine in 2008
  NPI Data:
  • NPI Number: 1053583211
  • Provider Enumeration Date: 03/27/2008
  • Last Update Date: 10/08/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 8022332881
  • Enrollment ID: I20191108002926

Medical Identifiers

Medical identifiers for Samuel Thomas Dunn Waller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053583211NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207T00000XNeurological Surgery XXXXXXXXX (Colorado)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Alaska Regional HospitalAnchorage, AKHospital
Providence Alaska Medical CenterAnchorage, AKHospital
Central Peninsula General HospitalSoldotna, AKHospital
Mat-su Regional Medical CenterPalmer, AKHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Coastal Neurology And Neurosurgery Inc94363034279
Select Physical Therapy Holdings Inc95370764011487

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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. Samuel Thomas Dunn Waller allows following entities to bill medicare on his behalf.
Entity NameCoastal Neurology And Neurosurgery Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689927626
PECOS PAC ID: 9436303427
Enrollment ID: O20130128000361

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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. Samuel Thomas Dunn 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 AddressPractice Location Address
Samuel Thomas Dunn Waller, MD
4100 Lake Otis Pkwy Ste 320,
Anchorage, AK 99508-5231

Ph: (907) 563-4810
Samuel Thomas Dunn Waller, MD
4100 Lake Otis Pkwy Ste 320,
Anchorage, AK 99508-5231

Ph: (907) 563-4810

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Neurological Surgery Doctors in Anchorage, AK

Dr. David Paul Paulson, M.D.
Neurological Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2751 Debarr Rd Ste 285, Anchorage, AK 99508
Phone: 907-243-0339    Fax: 907-243-0337
Mr. Lawrence Caroll Dempsey, MD
Neurological Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 2440 E Tudor Rd # 109, Anchorage, Anchorage, AK 99507
Phone: 907-333-3475    
Le He, M.D.
Neurological Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3831 Piper St Ste S450, Anchorage, AK 99508
Phone: 907-258-6999    
Richard Gregory Perrin, MD
Neurological Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 4100 Lake Otis Pkwy, Ste 320, Anchorage, AK 99508
Phone: 907-563-4810    Fax: 907-563-4811
Marius Maxwell, M.D.
Neurological Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 3650 Lake Otis Pkwy, Suite 202, Anchorage, AK 99508
Phone: 907-222-6500    Fax: 907-222-6550
Brian Miller, DO
Neurological Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2741 Debarr Rd, Suite C-411, Anchorage, AK 99508
Phone: 907-222-2739    Fax: 907-222-2746

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