Katherine Magoon, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" in Indianapolis, Indiana. Her current practice location is
1160 W Michigan St, Indianapolis, Indiana. You can reach out to her office (for appointments etc.) via phone at
(317) 944-2020.
Katherine Magoon is licensed to practice in * (Not Available) (license number ) 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 1710296629.
Provider's Profile
| Full Name | Katherine Magoon |
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| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1160 W Michigan St, Indianapolis, Indiana |
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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: 1710296629
- Provider Enumeration Date: 09/27/2010
- Last Update Date: 11/24/2021
Medicare PECOS Information:
- PECOS PAC ID: 4789811548
- Enrollment ID: I20200708000827
Medical Identifiers
Medical identifiers for Katherine Magoon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1710296629 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LP0200X | Nurse Practitioner - Pediatrics | F382163-1 (New York) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (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. Katherine Magoon 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 |
Katherine Magoon, MD 1160 W Michigan St, Indianapolis, IN 46202-5209 Ph: (330) 944-2020 | Katherine Magoon, MD 1160 W Michigan St, Indianapolis, IN 46202-5209 Ph: (317) 944-2020 |
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