Kathryn Beatrice Wagoner, - Counselor in Fairfield, CA

Kathryn Beatrice Wagoner, is a Counselor - Addiction (substance Use Disorder) based in Fairfield, California. Kathryn Beatrice Wagoner is licensed to practice in * (Not Available) (license number ) and her current practice location is 609 Jefferson St, Fairfield, California. She can be reached at her office (for appointments etc.) via phone at (707) 399-9190.

NPI number for Kathryn Beatrice Wagoner is 1548918832 and her current mailing address is 1812 San Jose Dr, Antioch, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1548918832.

Contact Information

Kathryn Beatrice Wagoner,
609 Jefferson St,
Fairfield, CA 94533-6293
(707) 399-9190
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameKathryn Beatrice Wagoner
GenderFemale
SpecialityCounselor - Addiction (substance Use Disorder)
Location609 Jefferson St, Fairfield, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1548918832
  • Provider Enumeration Date: 03/15/2022
  • Last Update Date: 03/15/2022

Medical Identifiers

Medical identifiers for Kathryn Beatrice Wagoner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548918832NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) (* (Not Available))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. Kathryn Beatrice Wagoner 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 AddressPractice Location Address
Kathryn Beatrice Wagoner,
1812 San Jose Dr,
Antioch, CA 94509-4136

Ph: (925) 594-0786
Kathryn Beatrice Wagoner,
609 Jefferson St,
Fairfield, CA 94533-6293

Ph: (707) 399-9190

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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