Mrs Kristen J Waggoner, PA in Fair Oaks, CA - Medicare Physician Assistant

Mrs Kristen J Waggoner, PA is a medicare enrolled "Physician Assistant" in Fair Oaks, California. Her current practice location is 4944 Sunrise Blvd Ste H, Fair Oaks, California. You can reach out to her office (for appointments etc.) via phone at (916) 966-8158.

Mrs Kristen J Waggoner is licensed to practice in California (license number 20275) 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 1174827190.

Contact Information

	Mrs Kristen J Waggoner, PA
	4944 Sunrise Blvd Ste H, Fair Oaks, CA 95628-4941
	(916) 966-8158
	(916) 966-8118

Map and Direction

Provider's Profile

Full Name	Mrs Kristen J Waggoner
Gender	Female
Speciality	Physician Assistant
Location	4944 Sunrise Blvd Ste H, Fair Oaks, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174827190
Provider Enumeration Date: 01/05/2011
Last Update Date: 11/04/2014

Medicare PECOS Information:

PECOS PAC ID: 4587886528
Enrollment ID: I20141107000019

Medical Identifiers

Medical identifiers for Mrs Kristen J Waggoner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174827190	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	20275 (California)	Primary

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. Mrs Kristen J 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
Mrs Kristen J Waggoner, PA 4944 Sunrise Blvd, Suite H, Fair Oaks, CA 95628-4941 Ph: (916) 966-8158	Mrs Kristen J Waggoner, PA 4944 Sunrise Blvd Ste H, Fair Oaks, CA 95628-4941 Ph: (916) 966-8158

Reviews and Comments

Physician Assistant Nurses in Fair Oaks, CA

Megan Marie Mcmanigal, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12417 Fair Oaks Blvd Ste 600, Fair Oaks, CA 95628 Phone: 916-727-1400
Mrs. Yael Saavedra, P.A., M.H.S. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12417 Fair Oaks Blvd, #600, Fair Oaks, CA 95628 Phone: 916-727-1400
Teena Leya Kalapurayil, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 12417 Fair Oaks Blvd Ste 600, Fair Oaks, CA 95628 Phone: 916-727-1400
Danielle Rene Sepehri, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4000 Pennsylvania Ave, Fair Oaks, CA 95628 Phone: 916-342-4823
Lara Barhoum Demaio, PHYSICIAN ASSISTANT Physician Assistant Medicare: Medicare Enrolled Practice Location: 11634 Fair Oaks Blvd, Fair Oaks, CA 95628 Phone: 916-983-8868
Michelle Lynn Habets, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 8067 Hidden View Cir, Fair Oaks, CA 95628 Phone: 734-904-5410

Mrs Kristen J Waggoner, PA - Medicare Physician Assistant in Fair Oaks, CA