Jason Fredrick Wagner, APRN, LMHC, MCAP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Hollywood, Florida. His current practice location is
111 W Coral Way, Hollywood, Florida. You can reach out to his office (for appointments etc.) via phone at
(954) 964-6338.
Jason Fredrick Wagner is licensed to practice in Florida (license number APRN11004343) 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 1720536691.
Healthcare Provider's Profile
| Full Name | Jason Fredrick Wagner |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 111 W Coral Way, Hollywood, Florida |
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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:
- Jason Fredrick Wagner attended and graduated from in
NPI Data:
- NPI Number: 1720536691
- Provider Enumeration Date: 09/20/2016
- Last Update Date: 05/01/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Jason Fredrick Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720536691 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | MH8961 (Florida) | Secondary |
| 101YM0800X | Counselor - Mental Health | MH8961 (Florida) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN11004343 (Florida) | 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. Jason Fredrick 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 |
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Jason Fredrick Wagner, APRN, LMHC, MCAP
135 Weston Rd # 236,
Weston, FL 33326-1111
Ph: (954) 483-5455 | Jason Fredrick Wagner, APRN, LMHC, MCAP
111 W Coral Way,
Hollywood, FL 33021-3860
Ph: (954) 964-6338 |
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