Mr Ted M Pagoaga, MSW is a
Social Worker - Clinical based in Wittenberg, Wisconsin. Mr Ted M Pagoaga is licensed to practice in Wisconsin (license number 6524) and his current practice location is
W18105 Hemlock Rd, Wittenberg, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(715) 253-2116.
NPI number for Mr Ted M Pagoaga is 1780745430 and his current mailing address is 103 E Mckinley St, Stoughton, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1780745430.
Healthcare Provider's Profile
Full Name | Mr Ted M Pagoaga |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | W18105 Hemlock Rd, Wittenberg, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1780745430
- Provider Enumeration Date: 12/13/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Ted M Pagoaga such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780745430 | NPI | - | NPPES |
4092550 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 6524 (Wisconsin) | 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. Mr Ted M Pagoaga is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Ted M Pagoaga, MSW 103 E Mckinley St, Stoughton, WI 53589-1624 Ph: (605) 873-3103 | Mr Ted M Pagoaga, MSW W18105 Hemlock Rd, Wittenberg, WI 54499-8647 Ph: (715) 253-2116 |
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