Ms Lucille Marie Wagner, PT is a medicare enrolled "Physical Therapist" provider in Huntington Beach, California. 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 | |
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Experience | 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. |
Medical Education and Training:
- Ms Lucille Marie Wagner attended and graduated from in
NPI Data:
- NPI Number: 1841368768
- Provider Enumeration Date: 11/30/2006
- Last Update Date: 09/10/2010
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Ms Lucille Marie Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841368768 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
171100000X | Acupuncturist | AC3506 (California) | Secondary |
225100000X | Physical Therapist | PT6997 (California) | 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. 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 |
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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