Kassondra Wagy, ARNP in Puyallup, WA - Medicare Nurse Practitioner

Kassondra Wagy, ARNP is a medicare enrolled "Nurse Practitioner" in Puyallup, Washington. Her current practice location is 3908 10th St Se, Puyallup, Washington. You can reach out to her office (for appointments etc.) via phone at (253) 848-5951.

Kassondra Wagy is licensed to practice in Washington (license number AP61340381) 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 1629703731.

Contact Information

	Kassondra Wagy, ARNP
	3908 10th St Se, Puyallup, WA 98374-2188
	(253) 848-5951
	(253) 845-7073

Map and Direction

Provider's Profile

Full Name	Kassondra Wagy
Gender	Female
Speciality	Nurse Practitioner
Location	3908 10th St Se, Puyallup, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629703731
Provider Enumeration Date: 07/21/2022
Last Update Date: 04/24/2023

Medicare PECOS Information:

PECOS PAC ID: 5698150035
Enrollment ID: I20220921000401

Medical Identifiers

Medical identifiers for Kassondra Wagy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629703731	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN61075632 (Washington)	Secondary
363L00000X	Nurse Practitioner	AP61340381 (Washington)	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. Kassondra Wagy allows following entities to bill medicare on her behalf.

Entity Name	South Hill Family Medicine Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538253331 PECOS PAC ID: 8729980396 Enrollment ID: O20040123000443

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. Kassondra Wagy 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
Kassondra Wagy, ARNP 3908 10th St Se, Puyallup, WA 98374-2188 Ph: (253) 848-5951	Kassondra Wagy, ARNP 3908 10th St Se, Puyallup, WA 98374-2188 Ph: (253) 848-5951

Reviews and Comments

Nurse Practitioner Nurses in Puyallup, WA

Melinda Moore, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6332 Summerwood Dr E, Puyallup, WA 98373 Phone: 253-228-9674
Oscar Herrera, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 220 15th Ave Se, Puyallup, WA 98372 Phone: 253-697-8610
Corene Kimberly Irvin, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15508 80th Avenue Ct E, Puyallup, WA 98375 Phone: 785-630-0608
Dr. Timothy C Wical Jr., BSN, DNP, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15406 Meridian E, Puyallup, WA 98375 Phone: 253-509-1777 Fax: 949-577-4515
Jennifer D Anderson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 118 7th Ave Sw, Puyallup, WA 98371 Phone: 253-579-0067
Christopher Charles Cramer, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1450 5th St Se Ste 4200, Puyallup, WA 98372 Phone: 253-697-3450
Lisa Ann Oberlander, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11102 Sunrise Blvd E Ste 103, Puyallup, WA 98374 Phone: 253-848-8797

Kassondra Wagy, ARNP - Medicare Nurse Practitioner in Puyallup, WA