Mrs Kristina Waggoner, NP-C is a medicare enrolled "Clinical Nurse Specialist - Gerontology" in Columbus, Georgia. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Inphynet Primary Care Physicians Southeast Pc and her current practice location is
2122 Manchester Expy, Columbus, Georgia. You can reach out to her office (for appointments etc.) via phone at
(706) 596-4000.
Mrs Kristina Waggoner is licensed to practice in Georgia (license number AG0315147) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1225422231.
Provider's Profile
| Full Name | Mrs Kristina Waggoner |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 9 Years |
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| Location | 2122 Manchester Expy, Columbus, Georgia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Kristina Waggoner graduated from nursing school in 2015
NPI Data:
- NPI Number: 1225422231
- Provider Enumeration Date: 03/27/2015
- Last Update Date: 01/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 7810248978
- Enrollment ID: I20180928001642
Medical Identifiers
Medical identifiers for Mrs Kristina Waggoner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225422231 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 364SG0600X | Clinical Nurse Specialist - Gerontology | AG0315147 (Georgia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Inphynet Primary Care Physicians Southeast Pc | 3779497045 | 55 |
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. Mrs Kristina Waggoner allows following entities to bill medicare on her behalf.
| Entity Name | Inphynet Primary Care Physicians Southeast Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770521460
PECOS PAC ID: 3779497045
Enrollment ID: O20031119000600 |
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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. Mrs Kristina 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 |
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Mrs Kristina Waggoner, NP-C
2122 Manchester Expy,
Columbus, GA 31904-6878
Ph: (706) 596-4000 | Mrs Kristina Waggoner, NP-C
2122 Manchester Expy,
Columbus, GA 31904-6878
Ph: (706) 596-4000 |
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