Alicia Marie Waganfeald, PTA is a
Physical Medicine & Rehabilitation - Sports Medicine physician based in Baldwin, Michigan. Alicia Marie Waganfeald is licensed to practice in Michigan (license number 5502008588) and her current practice location is 600 Denmark St, Baldwin, Michigan. She can be reached at her office (for appointments etc.) via phone at
(231) 745-4648.
NPI number for Alicia Marie Waganfeald is 1902646698 and her current mailing address is 1805 Milton Ave Apt 127c, Big Rapids, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1902646698.
Physician's Profile
Full Name | Alicia Marie Waganfeald |
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Gender | Female |
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Speciality | Physical Medicine & Rehabilitation - Sports Medicine |
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Location | 600 Denmark St, Baldwin, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1902646698
- Provider Enumeration Date: 05/29/2024
- Last Update Date: 06/04/2024
Medical Identifiers
Medical identifiers for Alicia Marie Waganfeald such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902646698 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | 5502008588 (Michigan) | 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. Alicia Marie Waganfeald 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 |
Alicia Marie Waganfeald, PTA 1805 Milton Ave Apt 127c, Big Rapids, MI 49307-2612 Ph: (989) 359-9417 | Alicia Marie Waganfeald, PTA 600 Denmark St, Baldwin, MI 49304-7500 Ph: (231) 745-4648 |
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