Dr David William Hagedorn, PHD is a
Clinical Neuropsychologist based in Camp Lejeune, North Carolina. Dr David William Hagedorn is licensed to practice in North Carolina (license number 3745) and his current practice location is
100 Brewster Blvd, Naval Hospital - Family Medicine, Camp Lejeune, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(910) 450-8805.
NPI number for Dr David William Hagedorn is 1992906747 and his current mailing address is 200 Valencia Drive, Suite 109, Jacksonville, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1992906747.
Healthcare Provider's Profile
| Full Name | Dr David William Hagedorn |
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| Gender | Male |
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| Speciality | Clinical Neuropsychologist |
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| Location | 100 Brewster Blvd, Camp Lejeune, North Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1992906747
- Provider Enumeration Date: 05/30/2007
- Last Update Date: 05/19/2011
Medical Identifiers
Medical identifiers for Dr David William Hagedorn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992906747 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 1117 (South Carolina) | Secondary |
| 103TC0700X | Psychologist - Clinical | PY00003898 (Washington) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 32594 (Texas) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 3745 (North Carolina) | 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 David William Hagedorn 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 |
|---|
Dr David William Hagedorn, PHD
200 Valencia Drive, Suite 109,
Jacksonville, NC 28546-7807
Ph: (910) 353-1760 | Dr David William Hagedorn, PHD
100 Brewster Blvd, Naval Hospital - Family Medicine,
Camp Lejeune, NC 28547
Ph: (910) 450-8805 |
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