Dr Bonnie Wagoner Isacke, PHD is a medicare enrolled "Speech-language Pathologist" provider in Pittsburgh, Pennsylvania. Her current practice location is
201 Penn Center Blvd, Suite 555, Pittsburgh, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(412) 421-0184.
Dr Bonnie Wagoner Isacke is licensed to practice in Pennsylvania (license number SL000239L) 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 1841398567.
Healthcare Provider's Profile
| Full Name | Dr Bonnie Wagoner Isacke |
|---|
| Gender | Female |
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| Speciality | Speech-language Pathologist |
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| Location | 201 Penn Center Blvd, Pittsburgh, Pennsylvania |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1841398567
- Provider Enumeration Date: 09/20/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 3678522901
- Enrollment ID: I20050113000647
Medical Identifiers
Medical identifiers for Dr Bonnie Wagoner Isacke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841398567 | NPI | - | NPPES |
| 743751 | Other | PA | HIGHMARK BCBS PSYCHOLOGY |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | PS006785L (Pennsylvania) | Primary |
| 235Z00000X | Speech-language Pathologist | SL000239L (Pennsylvania) | 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. Dr Bonnie Wagoner Isacke 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 |
|---|
Dr Bonnie Wagoner Isacke, PHD
201 Penn Center Blvd, Suite 555,
Pittsburgh, PA 15235-5442
Ph: (412) 421-0184 | Dr Bonnie Wagoner Isacke, PHD
201 Penn Center Blvd, Suite 555,
Pittsburgh, PA 15235-5442
Ph: (412) 421-0184 |
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