Brenda Sue Waller (NPI# 1093794133, PAC ID# 2860488483) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
| Nation Provider ID (NPI) | 1093794133 |
| PAC ID by PECOS | 2860488483 |
| Professional Enrollment ID | I20040421000341 |
| Full Name | Brenda Sue Waller |
| Address |
2600 Memorial Ave 201b Lynchburg VA 24501-2658 |
| Phone Number | 4345280896 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2600 Memorial Ave, 201b, Lynchburg, VA 24501-2658 | 4345280896 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 45% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Street Address |
2600 MEMORIAL AVE 201B |
| City | LYNCHBURG |
| State | VA |
| Zip | 24501-2658 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy Kw Hevener | Physical Therapy | Tidewater Physical Therapy LLC | 2400 Lakeside Dr, Suite 602f, Lynchburg, VA 24501 |
| Marie Andrea Lopez | Physician Assistant | Centra Medical Group LLC | 1911 Thomson Dr, Lynchburg, VA 24501-1008 |
| Russell W Campbell | Vascular Surgery | Centra Medical Group LLC | 1911 Thomson Dr, Lynchburg, VA 24501-1008 |
| Rachel H Behrmann | Physician Assistant | Centra Medical Group LLC | 1911 Thomson Dr, Lynchburg, VA 24501-1008 |
| William F Weber Iv | General Surgery | Centra Medical Group LLC | 1911 Thomson Dr, Lynchburg, VA 24501-1008 |
| Robert Joseph Albrecht | Vascular Surgery | Centra Medical Group LLC | 1911 Thomson Dr, Lynchburg, VA 24501-1008 |
| Christopher K Vincent | Vascular Surgery | Centra Medical Group LLC | 1911 Thomson Dr, Lynchburg, VA 24501-1008 |
| David Cassada | Vascular Surgery | Centra Medical Group LLC | 1911 Thomson Dr, Lynchburg, VA 24501-1008 |
| Lawrence F Poletti | General Surgery | Centra Medical Group LLC | 1911 Thomson Dr, Lynchburg, VA 24501-1008 |
| Peter J Ploch | General Surgery | Centra Medical Group LLC | 1911 Thomson Dr, Lynchburg, VA 24501-1008 |
| Find all physicians in zip 24501 | |||
| City | LYNCHBURG |
| Zip Code | 24501 |
| Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| City + Specialty | LYNCHBURG + PHYSICAL MEDICINE AND REHABILITATION |
Please comment or provide details below to improve the information on Brenda Sue Waller.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.