Lindsay Waggerman, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Ventura, California. Her current practice location is
300 Hillmont Ave, Bldg 340, Suite 201, Ventura, California. You can reach out to her office (for appointments etc.) via phone at
(805) 652-6100.
Lindsay Waggerman is licensed to practice in * (Not Available) (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 1386203339.
Physician's Profile
Full Name | Lindsay Waggerman |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 300 Hillmont Ave, Ventura, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1386203339
- Provider Enumeration Date: 06/12/2019
- Last Update Date: 07/18/2023
Medicare PECOS Information:
- PECOS PAC ID: 6103293899
- Enrollment ID: I20230821001078
Medical Identifiers
Medical identifiers for Lindsay Waggerman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1386203339 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | M-16803 (Idaho) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Lindsay Waggerman allows following entities to bill medicare on her behalf.
Entity Name | Clearwater Valley Hospital & Clinics |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1073551396 PECOS PAC ID: 0547173346 Enrollment ID: O20031117000264 |
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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. Lindsay Waggerman 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 |
Lindsay Waggerman, MD 800 S Victoria Ave # L4615, Ventura, CA 93009-0003 Ph: (805) 677-5181 | Lindsay Waggerman, MD 300 Hillmont Ave, Bldg 340, Suite 201, Ventura, CA 93003-1651 Ph: (805) 652-6100 |
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