Catherine Yh Wagoner, MD in Clackamas, OR

Catherine Yh Wagoner, MD is a medicare enrolled "Pediatrics" physician in Clackamas, Oregon. Her current practice location is 9290 Se Sunnybrook Blvd Ste 120, Clackamas, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 215-2110.

Catherine Yh Wagoner is licensed to practice in Oregon (license number MD171324) 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 1487627550.

Contact Information

	Catherine Yh Wagoner, MD
	9290 Se Sunnybrook Blvd Ste 120, Clackamas, OR 97015-6802
	(503) 215-2110
	Not Available

Map and Direction

Physician's Profile

Full Name	Catherine Yh Wagoner
Gender	Female
Speciality	Pediatrics
Location	9290 Se Sunnybrook Blvd Ste 120, Clackamas, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487627550
Provider Enumeration Date: 02/09/2006
Last Update Date: 03/25/2021

Medicare PECOS Information:

PECOS PAC ID: 6002080470
Enrollment ID: I20190603002210

Medical Identifiers

Medical identifiers for Catherine Yh Wagoner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487627550	NPI	-	NPPES
002016768	Medicaid	NV

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	9839 (Nevada)	Secondary
208000000X	Pediatrics	MD171324 (Oregon)	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. Catherine Yh Wagoner allows following entities to bill medicare on her behalf.

Entity Name	Providence Health & Services Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652

Entity Name	Legacy Emanuel Hospital & Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831112358 PECOS PAC ID: 4587573639 Enrollment ID: O20040127001204

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. Catherine Yh Wagoner 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
Catherine Yh Wagoner, MD Po Box 3158, Portland, OR 97208-3158 Ph: () -	Catherine Yh Wagoner, MD 9290 Se Sunnybrook Blvd Ste 120, Clackamas, OR 97015-6802 Ph: (503) 215-2110

Reviews and Comments

Pediatrics Doctors in Clackamas, OR

Pooja Banginwar, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8645 Se Sunnybrook Blvd Ste 200, Clackamas, OR 97015 Phone: 503-659-1694 Fax: 503-659-8984
Jay Joo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9800 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-813-2000
Dr. Bonnie Jean Aust, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10180 Se Sunnyside Rd, Kaiser Sunnyside Medical Office, Clackamas, OR 97015 Phone: 503-652-2880
Dr. Patricia Theresa Campbell, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9800 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-571-3418
Mary Kathryn Brown, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9290 Se Sunnybrook Blvd, Suite 200, Clackamas, OR 97015 Phone: 503-659-1694 Fax: 503-659-8984
Dr. Tracy Jeanne Peck, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9000 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-813-2000 Fax: 503-571-3418
Nancy Tran Chen, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8645 Se Sunnybrook Blvd Ste 200, Clackamas, OR 97015 Phone: 503-659-1694 Fax: 503-659-8984

Catherine Yh Wagoner, MD - Medicare Pediatrics in Clackamas, OR