Sarah A Leffler Wagoner, MD in Tigard, OR

Sarah A Leffler Wagoner, MD is a medicare enrolled "Pediatrics" physician in Tigard, Oregon. Her current practice location is 12442 Sw Scholls Ferry Rd Ste 205, Tigard, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 216-9140.

Sarah A Leffler Wagoner is licensed to practice in Oregon (license number MD208508) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1700319688.

Contact Information

	Sarah A Leffler Wagoner, MD
	12442 Sw Scholls Ferry Rd Ste 205, Tigard, OR 97223-0804
	(503) 216-9140
	Not Available

Map and Direction

Physician's Profile

Full Name	Sarah A Leffler Wagoner
Gender	Female
Speciality	Pediatrics
Location	12442 Sw Scholls Ferry Rd Ste 205, Tigard, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700319688
Provider Enumeration Date: 04/06/2017
Last Update Date: 02/10/2023

Medicare PECOS Information:

PECOS PAC ID: 9335533546
Enrollment ID: I20220304001347

Medical Identifiers

Medical identifiers for Sarah A Leffler Wagoner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700319688	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	60238 (Arizona)	Secondary
208000000X	Pediatrics	MD208508 (Oregon)	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. Sarah A Leffler Wagoner allows following entities to bill medicare on her behalf.

Entity Name	Providence Health & Services Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652

Entity Name	Providence Health & Services Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114015971 PECOS PAC ID: 9335057447 Enrollment ID: O20031117000153

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. Sarah A Leffler Wagoner 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
Sarah A Leffler Wagoner, MD Po Box 3158, Portland, OR 97208-3158 Ph: (503) 215-6494	Sarah A Leffler Wagoner, MD 12442 Sw Scholls Ferry Rd Ste 205, Tigard, OR 97223-0804 Ph: (503) 216-9140

Reviews and Comments

Pediatrics Doctors in Tigard, OR

Margaret Allison Baynham, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7213 Sw Hazelfern Rd, Tigard, OR 97224 Phone: 503-214-2064 Fax: 503-598-3600
Dr. Sandra Ana Antonovic, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 12442 Sw Scholls Ferry Rd, Suite 205, Tigard, OR 97223 Phone: 503-216-9140 Fax: 503-216-9145
Leila Hotaki Mesch, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 12442 Sw Scholls Ferry Rd Ste 205, Tigard, OR 97223 Phone: 503-216-9140
Kirsten Crowley, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 12442 Sw Scholls Ferry Rd, Suite 205, Tigard, OR 97223 Phone: 503-216-9140 Fax: 503-216-9145
Carol Lynn Schriner, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9250 Sw Hall Blvd, Tigard, OR 97223 Phone: 503-293-0161 Fax: 503-221-4451
Dr. Zaid Saad Al-mulla, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9735 Sw Shady Ln Ste 300, Tigard, OR 97223 Phone: 503-466-1779 Fax: 503-598-9030

Sarah A Leffler Wagoner, MD - Medicare Pediatrics in Tigard, OR