Glavis M Wagner, - Counselor in Pendleton, OR

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Glavis M Wagner, is a Prevention Professional based in Pendleton, Oregon. Glavis M Wagner is licensed to practice in Oregon (license number 17-CRM-217) and his current practice location is 46314 Timine Way, Pendleton, Oregon. He can be reached at his office (for appointments etc.) via phone at (541) 966-9830.

NPI number for Glavis M Wagner is 1720587553 and his current mailing address is 46314 Timine Way, Pendleton, Oregon. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1720587553.

Contact Information

Glavis M Wagner,
46314 Timine Way,
Pendleton, OR 97801
(541) 966-9830
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameGlavis M Wagner
GenderMale
SpecialityPrevention Professional
Location46314 Timine Way, Pendleton, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1720587553
  • Provider Enumeration Date: 02/07/2018
  • Last Update Date: 07/23/2020

Medical Identifiers

Medical identifiers for Glavis M Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720587553NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 17-CRM-217 (Oregon)Secondary
175T00000XPeer Specialist THW000002415 (Oregon)Secondary
405300000XPrevention Professional 17-CRM-217 (Oregon)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. Glavis M Wagner is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Glavis M Wagner,
46314 Timine Way,
Pendleton, OR 97801-9417

Ph: (541) 966-9830		Glavis M Wagner,
46314 Timine Way,
Pendleton, OR 97801

Ph: (541) 966-9830

Reviews and Comments


Prevention Professional in Pendleton, OR


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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