Ms Lucille Marie Wagner, PT is a medicare enrolled "Physical Therapist" provider in Huntington Beach, California. She graduated from medical school in 1974 and has 50 years of diverse experience with area of expertise as Physical Therapy. Her current practice location is
17456 Beach Blvd, Huntington Beach, California. You can reach out to her office (for appointments etc.) via phone at
(714) 841-2688.
Ms Lucille Marie Wagner is licensed to practice in California (license number PT6997) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1841368768.
Healthcare Provider's Profile
| Full Name | Ms Lucille Marie Wagner |
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| Gender | Female |
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| Speciality | Physical Therapy |
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| Experience | 50 Years |
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| Location | 17456 Beach Blvd, Huntington Beach, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Lucille Marie Wagner graduated from medical school in 1974
NPI Data:
- NPI Number: 1841368768
- Provider Enumeration Date: 11/30/2006
- Last Update Date: 09/10/2010
Medicare PECOS Information:
- PECOS PAC ID: 1759551369
- Enrollment ID: I20110908001926
Medical Identifiers
Medical identifiers for Ms Lucille Marie Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1841368768 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 171100000X | Acupuncturist | AC3506 (California) | Secondary |
| 225100000X | Physical Therapist | PT6997 (California) | 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. Ms Lucille Marie Wagner allows following entities to bill medicare on her behalf.
| Provider Name | Lucille Lopez Wagner R.p.t., Inc. |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1225244130
PECOS PAC ID: 9032389648
Enrollment ID: O20110908001905 |
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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. Ms Lucille Marie Wagner 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 |
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Ms Lucille Marie Wagner, PT
3079 Nestall Rd,
Laguna Beach, CA 92651-2026
Ph: (949) 497-8227 | Ms Lucille Marie Wagner, PT
17456 Beach Blvd,
Huntington Beach, CA 92647-5913
Ph: (714) 841-2688 |
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