Mrs Dorothy Wagner, LICSW in Rochester, MN - Medicare Social Worker Provider

Mrs Dorothy Wagner, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Rochester, Minnesota. Her current practice location is 1610 14th St Nw Ste 301, Rochester, Minnesota. You can reach out to her office (for appointments etc.) via phone at (507) 419-4347.

Mrs Dorothy Wagner is licensed to practice in Minnesota (license number 20597) 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 1033483649.

Contact Information

	Mrs Dorothy Wagner, LICSW
	1610 14th St Nw Ste 301, Rochester, MN 55901-0229
	(507) 419-4347
	(507) 607-8789

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Dorothy Wagner
Gender	Female
Speciality	Social Worker - Clinical
Location	1610 14th St Nw Ste 301, Rochester, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033483649
Provider Enumeration Date: 02/28/2012
Last Update Date: 04/15/2024

Medicare PECOS Information:

PECOS PAC ID: 9234391608
Enrollment ID: I20120501000286

Medical Identifiers

Medical identifiers for Mrs Dorothy Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033483649	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	20597 (Minnesota)	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. Mrs Dorothy Wagner allows following entities to bill medicare on her behalf.

Entity Name	Abc Child & Family Therapy Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255508537 PECOS PAC ID: 7618035890 Enrollment ID: O20081016000025

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. Mrs Dorothy 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
Mrs Dorothy Wagner, LICSW 1610 14th St Nw Ste 301, Rochester, MN 55901-0229 Ph: (507) 419-4347	Mrs Dorothy Wagner, LICSW 1610 14th St Nw Ste 301, Rochester, MN 55901-0229 Ph: (507) 419-4347

Reviews and Comments

Social Worker in Rochester, MN

Katelyn Johnson Franko, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3551 Commercial Dr Sw Ste 400, Rochester, MN 55902 Phone: 507-252-2239
Brooke E Kubasch, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511
Sarah Chang, LGSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3737 40th Ave Nw, Rochester, MN 55901 Phone: 507-288-6978
Ashley Marie Mckittrick, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 343 Woodlake Dr Se, Rochester, MN 55904 Phone: 507-289-2089
Susan Frances Dunhaupt, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 3rd Ave Se, Suite 405, Rochester, MN 55904 Phone: 507-288-8544 Fax: 507-288-8545
Kathryn A Amundson, PHD, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3006 Allegro Park Ln Sw, Rochester, MN 55902 Phone: 507-540-0894 Fax: 507-281-6852
Nicole Rose Imhof, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-293-6984 Fax: 507-284-5745

Mrs Dorothy Wagner, LICSW - Medicare Clinical Social Worker in Rochester, MN