David C Waggoner, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Muscle Shoals, Alabama. His current practice location is
201 W Avalon Ave, Muscle Shoals, Alabama. You can reach out to his office (for appointments etc.) via phone at
(256) 386-1600.
David C Waggoner is licensed to practice in Alabama (license number 13783) 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 1679624597.
Physician's Profile
Full Name | David C Waggoner |
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Gender | Male |
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Speciality | Psychiatry & Neurology - Psychiatry |
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Location | 201 W Avalon Ave, Muscle Shoals, Alabama |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1679624597
- Provider Enumeration Date: 01/16/2007
- Last Update Date: 12/04/2014
Medicare PECOS Information:
- PECOS PAC ID: 0941114003
- Enrollment ID: I20180921002061
Medical Identifiers
Medical identifiers for David C Waggoner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679624597 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | 27997 (Kentucky) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 13783 (Alabama) | Primary |
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. David C Waggoner allows following entities to bill medicare on his behalf.
Entity Name | Willough Healthcare Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1932138823 PECOS PAC ID: 6901706944 Enrollment ID: O20061023000450 |
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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. David C Waggoner 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 |
David C Waggoner, MD 411 Walnut St, Suite 8615, Green Cove Springs, FL 32043-3443 Ph: (615) 297-7390 | David C Waggoner, MD 201 W Avalon Ave, Muscle Shoals, AL 35661-2805 Ph: (256) 386-1600 |
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