Mr Terry Ray Waggoner Ii, LSCSW in Pittsburg, KS - Medicare Clinical Social Worker Provider

Mr Terry Ray Waggoner Ii, LSCSW is a medicare enrolled "Social Worker - Clinical" provider in Pittsburg, Kansas. He graduated from medical school in 2022 and has 4 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Crawford County Mental Health Center and his current practice location is 3103 N Michigan St, Pittsburg, Kansas. You can reach out to his office (for appointments etc.) via phone at (620) 231-5130.

Mr Terry Ray Waggoner Ii is licensed to practice in Kansas (license number 06897) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1487350187.

Contact Information

	Mr Terry Ray Waggoner Ii, LSCSW
	3103 N Michigan St, Pittsburg, KS 66762-2545
	(620) 231-5130
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Terry Ray Waggoner Ii
Gender	Male
Speciality	Clinical Social Worker
Experience	4 Years
Location	3103 N Michigan St, Pittsburg, Kansas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Terry Ray Waggoner Ii graduated from medical school in 2022

NPI Data:

NPI Number: 1487350187
Provider Enumeration Date: 02/03/2023
Last Update Date: 08/05/2025

Medicare PECOS Information:

PECOS PAC ID: 0941789119
Enrollment ID: I20260209000807

Medical Identifiers

Medical identifiers for Mr Terry Ray Waggoner Ii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487350187	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	06897 (Kansas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Crawford County Mental Health Center	3072955616	12

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. Mr Terry Ray Waggoner Ii 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
Mr Terry Ray Waggoner Ii, LSCSW 3103 N Michigan St, Pittsburg, KS 66762-2545 Ph: (620) 231-5130	Mr Terry Ray Waggoner Ii, LSCSW 3103 N Michigan St, Pittsburg, KS 66762-2545 Ph: (620) 231-5130

Reviews and Comments

Social Worker in Pittsburg, KS

Vanessa Marie De Luna, LSCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3011 N Michigan St, Pittsburg, KS 66762 Phone: 620-231-9873
Ms. Anita Celeste Dickens, L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3101 N Michigan St Ste C, Pittsburg, KS 66762 Phone: 620-231-1069 Fax: 620-231-2997
Christine Faye Jenkins, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3101 N Michigan St Ste C, Pittsburg, KS 66762 Phone: 620-231-1069 Fax: 620-231-2997
Mr. Kent R. Noble, LSCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 911 E Centennial Dr, Pittsburg, KS 66762 Phone: 620-231-5130
Sandra L Krusich, LSCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Mt Carmel Way, Pittsburg, KS 66762 Phone: 620-235-7940 Fax: 620-235-7908
Sandra F Cullison, LSCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3011 N Michigan St, Pittsburg, KS 66762 Phone: 620-231-9873
Deedria Woods, LSCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 911 E Centennial Dr, Pittsburg, KS 66762 Phone: 620-231-5130

Mr Terry Ray Waggoner Ii, LSCSW - Medicare Clinical Social Worker in Pittsburg, KS