Katie Waggoner, in La Jolla, CA - Medicare Registered Nurse

Katie Waggoner, is a medicare enrolled "Registered Nurse" in La Jolla, California. Her current practice location is 9888 Genesee Ave, La Jolla, California. You can reach out to her office (for appointments etc.) via phone at (858) 626-4123.

Katie Waggoner is licensed to practice in California (license number 95126394) 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 1962185405.

Contact Information

	Katie Waggoner,
	9888 Genesee Ave, La Jolla, CA 92037-1205
	(858) 626-4123
	Not Available

Map and Direction

Provider's Profile

Full Name	Katie Waggoner
Gender	Female
Speciality	Registered Nurse
Location	9888 Genesee Ave, La Jolla, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962185405
Provider Enumeration Date: 08/10/2023
Last Update Date: 08/10/2023

Medicare PECOS Information:

PECOS PAC ID: 1951745298
Enrollment ID: I20240214004247

Medical Identifiers

Medical identifiers for Katie Waggoner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962185405	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	95126394 (California)	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. Katie Waggoner allows following entities to bill medicare on her behalf.

Entity Name	Molina Healthcare Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194811760 PECOS PAC ID: 7517957608 Enrollment ID: O20061101000348

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. Katie Waggoner 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
Katie Waggoner, 2227 31st St, San Diego, CA 92104-5635 Ph: (619) 602-7773	Katie Waggoner, 9888 Genesee Ave, La Jolla, CA 92037-1205 Ph: (858) 626-4123

Reviews and Comments

Registered Nurse Nurses in La Jolla, CA

Ms. Angela Joseph, MSN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3350 La Jolla Village Dr, La Jolla, CA 92037 Phone: 858-642-3113 Fax: 858-552-4315
Brianna Jaramillo Baldwin, ACNP Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 7720 Fay Ave, La Jolla, CA 92037 Phone: 858-454-2700 Fax: 858-454-2782
Mrs. Rona L Schechter, R.D.-C.D.E Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 9894 Genesee Ave, La Jolla, CA 92037 Phone: 858-626-5628 Fax: 858-279-0377
Sarah Dawn Searle, RN, CCE, RPYT Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 7771 Ivanhoe Ave, La Jolla, CA 92037 Phone: 310-403-2016
Gloria Solano, RN CNS Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 9850 Genesee Ave, Suite 970, La Jolla, CA 92037 Phone: 858-558-2731 Fax: 858-452-5905
Grace Ellen Collins, PMHNP-BC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 888 Prospect St Ste 200, La Jolla, CA 92037 Phone: 415-849-2466 Fax: 415-376-4529
Kathleen Joy Foltz Hastings, RN, RNFA Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 9888 Genesee Ave, La Jolla, CA 92037 Phone: 858-626-6170

Katie Waggoner, - Medicare Registered Nurse in La Jolla, CA