Karen Michelle Fagerstrom, PSYD - Medicare Psychologist in Gold River, CA

Karen Michelle Fagerstrom, PSYD is a medicare enrolled "Psychologist" provider in Gold River, California. Her current practice location is 11344 Coloma Rd, Suite 605, Gold River, California. You can reach out to her office (for appointments etc.) via phone at (916) 709-1170.

Karen Michelle Fagerstrom 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 1154724383.

Contact Information

Karen Michelle Fagerstrom, PSYD
11344 Coloma Rd, Suite 605,
Gold River, CA 95670-4457
(916) 709-1170
Not Available



Healthcare Provider's Profile

Full NameKaren Michelle Fagerstrom
GenderFemale
SpecialityPsychologist
Location11344 Coloma Rd, Gold River, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1154724383
  • Provider Enumeration Date: 10/02/2014
  • Last Update Date: 01/03/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7911227822
  • Enrollment ID: I20150515002066

Medical Identifiers

Medical identifiers for Karen Michelle Fagerstrom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154724383NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist (* (Not Available))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. Karen Michelle Fagerstrom allows following entities to bill medicare on her behalf.
Entity NamePermanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710

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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. Karen Michelle Fagerstrom 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 AddressPractice Location Address
Karen Michelle Fagerstrom, PSYD
11344 Coloma Rd, Suite 605,
Gold River, CA 95670-4457

Ph: (916) 709-1170
Karen Michelle Fagerstrom, PSYD
11344 Coloma Rd, Suite 605,
Gold River, CA 95670-4457

Ph: (916) 709-1170

News Archive

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Psychologist in Gold River, CA

Dr. Dana Leigh Parry-erickson, PSY.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 2377 Gold Meadow Way Ste 295, Gold River, CA 95670
Phone: 916-631-1539    
Ms. Megan Rhoads, PSYD
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 2377 Gold Meadow Way Ste 101, Gold River, CA 95670
Phone: 530-720-4435    
Dr. Feather Gaither, PSY.D
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 2377 Gold Meadow Way, Suite 15, Gold River, CA 95670
Phone: 916-765-0835    
Dr. Christopher Lewis Mathe, PHD
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 11344 Coloma Rd, Suite 435, Gold River, CA 95670
Phone: 916-709-1170    
Dr. Veronica Dobson, PSYD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 11344 Coloma Rd Ste 605, Gold River, CA 95670
Phone: 530-356-8213    
Melissa Ann Rooney, PHD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 11344 Coloma Road, #180, Gold River, CA 95670
Phone: 916-552-1402    Fax: 916-631-7084

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