Deborah A Wagner, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Menasha, Wisconsin. Her current practice location is
1095 Midway Rd, Menasha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 720-2300.
Deborah A Wagner is licensed to practice in * (Not Available) (license number 7536) 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 1316275746.
Healthcare Provider's Profile
Full Name | Deborah A Wagner |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1095 Midway Rd, Menasha, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1316275746
- Provider Enumeration Date: 11/23/2009
- Last Update Date: 11/23/2009
Medicare PECOS Information:
- PECOS PAC ID: 8820139868
- Enrollment ID: I20100112000790
Medical Identifiers
Medical identifiers for Deborah A Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316275746 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 12904 (* (Not Available)) | Secondary |
104100000X | Social Worker | 127241 (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 7536 (* (Not Available)) | 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. Deborah A Wagner allows following entities to bill medicare on her behalf.
Entity Name | Thedacare, Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088 |
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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. Deborah A 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 |
Deborah A Wagner, LCSW 1095 Midway Rd, Menasha, WI 54952-1115 Ph: (920) 720-2300 | Deborah A Wagner, LCSW 1095 Midway Rd, Menasha, WI 54952-1115 Ph: (920) 720-2300 |
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