Mr Eddie L Wagoner, LPC, LCSW is a
Social Worker - Clinical based in Sherman, Texas. Mr Eddie L Wagoner is licensed to practice in Texas (license number 10473) and his current practice location is
804 Pecan Grove Rd E, Sherman, Texas. He can be reached at his office (for appointments etc.) via phone at
(903) 893-7768.
NPI number for Mr Eddie L Wagoner is 1366624298 and his current mailing address is 804 Pecan Grove Rd E, Sherman, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1366624298.
Healthcare Provider's Profile
| Full Name | Mr Eddie L Wagoner |
|---|
| Gender | Male |
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| Speciality | Social Worker - Clinical |
|---|
| Location | 804 Pecan Grove Rd E, Sherman, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1366624298
- Provider Enumeration Date: 12/03/2007
- Last Update Date: 12/03/2007
Medical Identifiers
Medical identifiers for Mr Eddie L Wagoner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366624298 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 01315 (Texas) | Secondary |
| 1041C0700X | Social Worker - Clinical | 10473 (Texas) | 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 Eddie L Wagoner 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 Eddie L Wagoner, LPC, LCSW
804 Pecan Grove Rd E,
Sherman, TX 75090-1767
Ph: (903) 893-7768 | Mr Eddie L Wagoner, LPC, LCSW
804 Pecan Grove Rd E,
Sherman, TX 75090-1767
Ph: (903) 893-7768 |
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