Kendall Todd Carman-wagner, LICSW in Dayton, WA - Medicare Social Worker Provider

Kendall Todd Carman-wagner, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Dayton, Washington. His current practice location is 1012 S 3rd St, Dayton, Washington. You can reach out to his office (for appointments etc.) via phone at (509) 382-2531.

Kendall Todd Carman-wagner is licensed to practice in Washington (license number LW00005301) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1962552844.

Contact Information

	Kendall Todd Carman-wagner, LICSW
	1012 S 3rd St, Dayton, WA 99328-1606
	(509) 382-2531
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kendall Todd Carman-wagner
Gender	Male
Speciality	Social Worker - Clinical
Location	1012 S 3rd St, Dayton, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962552844
Provider Enumeration Date: 01/11/2007
Last Update Date: 02/15/2024

Medicare PECOS Information:

PECOS PAC ID: 6507820982
Enrollment ID: I20230926003686

Medical Identifiers

Medical identifiers for Kendall Todd Carman-wagner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962552844	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LW00005301 (Washington)	Primary
101YA0400X	Counselor - Addiction (substance Use Disorder)	CP00000091 (Washington)	Secondary

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. Kendall Todd Carman-wagner allows following entities to bill medicare on his behalf.

Entity Name	Columbia County Hospital District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134128911 PECOS PAC ID: 5597653758 Enrollment ID: O20040309000515

Entity Name	Columbia County Hospital District
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1134128911 PECOS PAC ID: 5597653758 Enrollment ID: O20080207000209

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. Kendall Todd Carman-wagner 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
Kendall Todd Carman-wagner, LICSW 350 Equestrian Way, Walla Walla, WA 99362-6220 Ph: (509) 529-1496	Kendall Todd Carman-wagner, LICSW 1012 S 3rd St, Dayton, WA 99328-1606 Ph: (509) 382-2531

Reviews and Comments

Social Worker in Dayton, WA

Ms. Anne D Strode, MSW LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 218 S 4th St, Dayton, WA 99328 Phone: 509-382-2036 Fax: 509-382-2022
Paris Davis, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 221 E Washington Ave, Dayton, WA 99328 Phone: 509-382-1164 Fax: 509-382-1166
Tain J Walker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 221 E Washington Ave, Dayton, WA 99328 Phone: 509-382-1164 Fax: 509-382-1166
Akua Baah Anokye, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1012 S 3rd St., Dayton, WA 99328 Phone: 509-382-2531 Fax: 509-382-3205
Ms. Sheila Zangar, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 451 Wolf Fork Rd, Dayton, WA 99328 Phone: 509-382-2005 Fax: 509-382-2005

Kendall Todd Carman-wagner, LICSW - Medicare Clinical Social Worker in Dayton, WA