Karen Michelle Fagerstrom, PSYD in Gold River, CA - Medicare Psychologist Provider

Karen Michelle Fagerstrom, PSYD is a medicare enrolled "Psychologist" provider in Gold River, California. Her current practice location is 11344 Coloma Rd, Suite 605, Gold River, California. You can reach out to her office (for appointments etc.) via phone at (916) 709-1170.

Karen Michelle Fagerstrom is licensed to practice in * (Not Available) (license number ) 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 1154724383.

Contact Information

	Karen Michelle Fagerstrom, PSYD
	11344 Coloma Rd, Suite 605, Gold River, CA 95670-4457
	(916) 709-1170
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Karen Michelle Fagerstrom
Gender	Female
Speciality	Psychologist
Location	11344 Coloma Rd, Gold River, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154724383
Provider Enumeration Date: 10/02/2014
Last Update Date: 01/03/2022

Medicare PECOS Information:

PECOS PAC ID: 7911227822
Enrollment ID: I20150515002066

Medical Identifiers

Medical identifiers for Karen Michelle Fagerstrom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154724383	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	(* (Not Available))	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. Karen Michelle Fagerstrom allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Karen Michelle Fagerstrom 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
Karen Michelle Fagerstrom, PSYD 11344 Coloma Rd, Suite 605, Gold River, CA 95670-4457 Ph: (916) 709-1170	Karen Michelle Fagerstrom, PSYD 11344 Coloma Rd, Suite 605, Gold River, CA 95670-4457 Ph: (916) 709-1170

Reviews and Comments

Psychologist in Gold River, CA

Dr. Dana Leigh Parry-erickson, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2377 Gold Meadow Way Ste 295, Gold River, CA 95670 Phone: 916-631-1539
Ms. Megan Rhoads, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2377 Gold Meadow Way Ste 101, Gold River, CA 95670 Phone: 530-720-4435
Dr. Feather Gaither, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2377 Gold Meadow Way, Suite 15, Gold River, CA 95670 Phone: 916-765-0835
Dr. Christopher Lewis Mathe, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 11344 Coloma Rd, Suite 435, Gold River, CA 95670 Phone: 916-709-1170
Dr. Veronica Dobson, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11344 Coloma Rd Ste 605, Gold River, CA 95670 Phone: 530-356-8213
Melissa Ann Rooney, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11344 Coloma Road, #180, Gold River, CA 95670 Phone: 916-552-1402 Fax: 916-631-7084

Karen Michelle Fagerstrom, PSYD - Medicare Psychologist in Gold River, CA