Mrs Ruth A Godwin Wagner, OT is a
Occupational Therapist based in Clyde, New York. Mrs Ruth A Godwin Wagner is licensed to practice in New York (license number 005681-1) and her current practice location is
212 E. Dezeng St., Clyde Elementary School, Clyde, New York. She can be reached at her office (for appointments etc.) via phone at
(315) 902-3100.
NPI number for Mrs Ruth A Godwin Wagner is 1679857965 and her current mailing address is 1776 Powderly Rd, Waterloo, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679857965.
Healthcare Provider's Profile
Full Name | Mrs Ruth A Godwin Wagner |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 212 E. Dezeng St., Clyde, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1679857965
- Provider Enumeration Date: 10/05/2011
- Last Update Date: 10/05/2011
Medical Identifiers
Medical identifiers for Mrs Ruth A Godwin Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679857965 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 005681-1 (New York) | 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 Ruth A Godwin Wagner is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Ruth A Godwin Wagner, OT 1776 Powderly Rd, Waterloo, NY 13165-9415 Ph: (315) 729-0779 | Mrs Ruth A Godwin Wagner, OT 212 E. Dezeng St., Clyde Elementary School, Clyde, NY 14433 Ph: (315) 902-3100 |
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