Dr Elizabeth Marie Hagermoser, LP, is a
Psychologist - Clinical Child & Adolescent based in Madison, Wisconsin. Dr Elizabeth Marie Hagermoser is licensed to practice in Wisconsin (license number 3506-57) and her current practice location is
7633 Ganser Way Ste 204, Madison, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(608) 829-1800.
NPI number for Dr Elizabeth Marie Hagermoser is 1518340637 and her current mailing address is 7633 Ganser Way Ste 204, Madison, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1518340637.
Healthcare Provider's Profile
| Full Name | Dr Elizabeth Marie Hagermoser |
|---|
| Gender | Female |
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| Speciality | Psychologist - Clinical Child & Adolescent |
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| Location | 7633 Ganser Way Ste 204, Madison, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1518340637
- Provider Enumeration Date: 07/07/2015
- Last Update Date: 07/21/2022
Medical Identifiers
Medical identifiers for Dr Elizabeth Marie Hagermoser such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518340637 | NPI | - | NPPES |
| 47037660631 | Medicaid | NE | |
| 47037660624 | Medicaid | NE | |
| 10026139700 | Medicaid | NE | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | 10565 (Nebraska) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 3506-57 (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. Dr Elizabeth Marie Hagermoser 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 |
|---|
Dr Elizabeth Marie Hagermoser, LP,
7633 Ganser Way Ste 204,
Madison, WI 53719-2092
Ph: (608) 829-1800 | Dr Elizabeth Marie Hagermoser, LP,
7633 Ganser Way Ste 204,
Madison, WI 53719-2092
Ph: (608) 829-1800 |
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