Kevin Richard Wandler, MD is a
Psychiatry & Neurology - Addiction Medicine physician based in Ridgefield, Washington. Kevin Richard Wandler is licensed to practice in Indiana (license number 01092373A) and his current practice location is 888 S Hillhurst Rd, Ridgefield, Washington. He can be reached at his office (for appointments etc.) via phone at
(754) 300-3120.
NPI number for Kevin Richard Wandler is 1205956265 and his current mailing address is 888 S Hillhurst Rd, Ridgefield, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1205956265.
Physician's Profile
| Full Name | Kevin Richard Wandler |
|---|
| Gender | Male |
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| Speciality | Psychiatry & Neurology - Addiction Medicine |
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| Location | 888 S Hillhurst Rd, Ridgefield, Washington |
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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: 1205956265
- Provider Enumeration Date: 03/30/2007
- Last Update Date: 04/03/2024
Medical Identifiers
Medical identifiers for Kevin Richard Wandler such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205956265 | NPI | - | NPPES |
| 004007100 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | DR.0055465 (Colorado) | Secondary |
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | 130525 (Ohio) | Secondary |
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | 2022048625 (Missouri) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 14421 (Arizona) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME110716 (Florida) | Secondary |
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | MD60562814 (Washington) | Secondary |
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | 01092373A (Indiana) | Primary |
| 2083A0300X | Preventive Medicine - Addiction Medicine | 25MA10809300 (New Jersey) | Secondary |
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | 25MA10809300 (New Jersey) | Secondary |
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. Kevin Richard Wandler 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 |
|---|
Kevin Richard Wandler, MD
888 S Hillhurst Rd,
Ridgefield, WA 98642-9063
Ph: (754) 300-3120 | Kevin Richard Wandler, MD
888 S Hillhurst Rd,
Ridgefield, WA 98642-9063
Ph: (754) 300-3120 |
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