Beth Elaine Wadman, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G86395 Issued in CA

Practice address

214 E Lake St
Mount Shasta, CA 96067-2331

Phone

(530) 435-5048

Fax

(602) 603-5084

NPI assigned

Nov 20, 2006

Last updated

May 14, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Beth Elaine Hewitt Former name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Nicholas Patrick Brown DOGroup PAC ID 8325458276, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: beth.wadman.p2@direct.lanecounty.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nicholas Patrick Brown, DO

  dba MBS Integrative Psychiatry

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mount Shasta, CA
  • NPI 1003422486
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1790859569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1350",
            "city": "MOUNT SHASTA",
            "state": "CA",
            "postal_code": "960671350",
            "telephone_number": "530-926-0398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 E LAKE ST",
            "city": "MOUNT SHASTA",
            "state": "CA",
            "postal_code": "960672331",
            "telephone_number": "530-435-5048",
            "fax_number": "602-603-5084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADMAN",
        "first_name": "BETH",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G86395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "HEWITT",
            "middle_name": "ELAINE",
            "credential": "M.D,",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Teresa Valin
• Valley Emergency Physicians Medical Group, Inc (Mercy Mt. Shasta Medical Corporation)
• Bernard Van Ee
• Erik James Van Houten, MD
• David Vogt
• Sibyl Jean Walski
• Elliott Pierce Wayburn-Best, LVN
• Denese Gail Welch, RDH, RDHAP
• Nathan Welker
• Stephen Werder, LVN

• Psychiatry Physician in Mount Shasta, CA
• Providers in Mount Shasta, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.