Dr Ivy Christine Wagner, DBH, LCSW in Bandon, OR - Medicare Social Worker Provider

Dr Ivy Christine Wagner, DBH, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Bandon, Oregon. Her current practice location is 780 2nd St Se Ste 10, Bandon, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 329-2144.

Dr Ivy Christine Wagner is licensed to practice in Oregon (license number L11519) 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 1346754702.

Contact Information

	Dr Ivy Christine Wagner, DBH, LCSW
	780 2nd St Se Ste 10, Bandon, OR 97411-8354
	(541) 329-2144
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Ivy Christine Wagner
Gender	Female
Speciality	Social Worker - Clinical
Location	780 2nd St Se Ste 10, Bandon, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346754702
Provider Enumeration Date: 11/21/2017
Last Update Date: 08/16/2024

Medicare PECOS Information:

PECOS PAC ID: 0446606065
Enrollment ID: I20231101003824

Medical Identifiers

Medical identifiers for Dr Ivy Christine Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346754702	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	L11519 (Oregon)	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. Dr Ivy Christine Wagner allows following entities to bill medicare on her behalf.

Entity Name	Bandon Community Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033348289 PECOS PAC ID: 1557416757 Enrollment ID: O20100430000431

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 Ivy Christine 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
Dr Ivy Christine Wagner, DBH, LCSW 790 Bluff Ave Sw, Bandon, OR 97411-9614 Ph: (503) 984-9243	Dr Ivy Christine Wagner, DBH, LCSW 780 2nd St Se Ste 10, Bandon, OR 97411-8354 Ph: (541) 329-2144

Reviews and Comments

Social Worker in Bandon, OR

Tracy Ann Merriam, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 110 10th St Se, Bandon, OR 97411 Phone: 541-347-5191 Fax: 541-266-4578
Mrs. Susan Lynn Dimock, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1212 Alabama St, Suite 27, Bandon, OR 97411 Phone: 541-347-7090
Mrs. Syd L Wiesel, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 390 1st St Sw, Bandon, OR 97411 Phone: 541-347-1134 Fax: 541-347-1134

Dr Ivy Christine Wagner, DBH, LCSW - Medicare Clinical Social Worker in Bandon, OR