Amber James Wagstaff, RDN is a medicare enrolled "Dietitian, Registered" provider in Canyon Lake, California. Her current practice location is
23320 Canyon Lake Dr N, Canyon Lake, California. You can reach out to her office (for appointments etc.) via phone at
(714) 809-2993.
Amber James Wagstaff is licensed to practice in California (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 1093313603.
Healthcare Provider's Profile
| Full Name | Amber James Wagstaff |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 23320 Canyon Lake Dr N, Canyon Lake, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1093313603
- Provider Enumeration Date: 10/15/2020
- Last Update Date: 10/15/2020
Medicare PECOS Information:
- PECOS PAC ID: 1254786114
- Enrollment ID: I20231012000909
Medical Identifiers
Medical identifiers for Amber James Wagstaff such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1093313603 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | (California) | 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. Amber James Wagstaff allows following entities to bill medicare on her behalf.
| Provider Name | Uhling Consulting, Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1609171636
PECOS PAC ID: 3870775232
Enrollment ID: O20110308000006 |
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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. Amber James Wagstaff 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 |
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Amber James Wagstaff, RDN
23320 Canyon Lake Dr N,
Canyon Lake, CA 92587-8007
Ph: () - | Amber James Wagstaff, RDN
23320 Canyon Lake Dr N,
Canyon Lake, CA 92587-8007
Ph: (714) 809-2993 |
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