William Christopher Wagner, LCSW is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Tell City, Indiana. He graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Lifespring Inc and his current practice location is
746 9th St, Tell City, Indiana. You can reach out to his office (for appointments etc.) via phone at
(812) 547-2933.
William Christopher Wagner is licensed to practice in Indiana (license number 87000045A) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1790961787.
Healthcare Provider's Profile
| Full Name | William Christopher Wagner |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 25 Years |
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| Location | 746 9th St, Tell City, Indiana |
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| Accepts Medicare Assignments | Yes. He 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:
- William Christopher Wagner graduated from medical school in 1999
NPI Data:
- NPI Number: 1790961787
- Provider Enumeration Date: 01/21/2008
- Last Update Date: 10/11/2012
Medicare PECOS Information:
- PECOS PAC ID: 6800967605
- Enrollment ID: I20080623000411
Medical Identifiers
Medical identifiers for William Christopher Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790961787 | NPI | - | NPPES |
| 34004522A | Other | IN | LICENSE |
| 87000045A | Other | IN | LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 34004522A (Indiana) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 87000045A (Indiana) | Primary |
| 101Y00000X | Counselor | 34004522A (Indiana) | Secondary |
| 101YM0800X | Counselor - Mental Health | 34004522A (Indiana) | Secondary |
| 106H00000X | Marriage & Family Therapist | 34004522A (Indiana) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Lifespring Inc | 5294624508 | 59 |
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. William Christopher Wagner allows following entities to bill medicare on his behalf.
| Entity Name | Lifespring Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1851489942
PECOS PAC ID: 5294624508
Enrollment ID: O20040805000332 |
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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. William Christopher 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 |
|---|
William Christopher Wagner, LCSW
746 9th St,
Tell City, IN 47586-1711
Ph: (812) 547-2933 | William Christopher Wagner, LCSW
746 9th St,
Tell City, IN 47586-1711
Ph: (812) 547-2933 |
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