Madeleine S Wagner, is a
Student In An Organized Health Care Education/training Program based in Los Angeles, California. Madeleine S Wagner is licensed to practice in * (Not Available) (license number ) and her current practice location is
333 S Beaudry Ave, Los Angeles, California. She can be reached at her office (for appointments etc.) via phone at
(213) 241-3841.
NPI number for Madeleine S Wagner is 1568992709 and her current mailing address is 333 S Beaudry Ave, Los Angeles, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1568992709.
Healthcare Provider's Profile
| Full Name | Madeleine S Wagner |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 333 S Beaudry Ave, Los Angeles, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1568992709
- Provider Enumeration Date: 06/19/2017
- Last Update Date: 08/24/2021
Medical Identifiers
Medical identifiers for Madeleine S Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568992709 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Madeleine S Wagner 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 |
|---|
Madeleine S Wagner,
333 S Beaudry Ave,
Los Angeles, CA 90017-1466
Ph: (213) 241-3841 | Madeleine S Wagner,
333 S Beaudry Ave,
Los Angeles, CA 90017-1466
Ph: (213) 241-3841 |
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