Dr Bonnie Wagoner Isacke, PHD is a
Speech-language Pathologist based in Pittsburgh, Pennsylvania. Dr Bonnie Wagoner Isacke is licensed to practice in Pennsylvania (license number SL000239L) and her current practice location is
201 Penn Center Blvd, Suite 555, Pittsburgh, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(412) 421-0184.
NPI number for Dr Bonnie Wagoner Isacke is 1841398567 and her current mailing address is 201 Penn Center Blvd, Suite 555, Pittsburgh, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1841398567.
Healthcare Provider's Profile
| Full Name | Dr Bonnie Wagoner Isacke |
|---|
| Gender | Female |
|---|
| Speciality | Speech-language Pathologist |
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| Location | 201 Penn Center Blvd, Pittsburgh, Pennsylvania |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1841398567
- Provider Enumeration Date: 09/20/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Bonnie Wagoner Isacke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841398567 | NPI | - | NPPES |
| 743751 | Other | PA | HIGHMARK BCBS PSYCHOLOGY |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | PS006785L (Pennsylvania) | Primary |
| 235Z00000X | Speech-language Pathologist | SL000239L (Pennsylvania) | 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. Dr Bonnie Wagoner Isacke 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 Address | Practice Location Address |
|---|
Dr Bonnie Wagoner Isacke, PHD
201 Penn Center Blvd, Suite 555,
Pittsburgh, PA 15235-5442
Ph: (412) 421-0184 | Dr Bonnie Wagoner Isacke, PHD
201 Penn Center Blvd, Suite 555,
Pittsburgh, PA 15235-5442
Ph: (412) 421-0184 |
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