Jennifer Wagner, LPC, LCDC in Atlanta, TX - Medicare Counselor Provider

Jennifer Wagner, LPC, LCDC is a medicare enrolled "Counselor - Professional" provider in Atlanta, Texas. Her current practice location is 702 Holly St, Atlanta, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 278-7795.

Jennifer Wagner is licensed to practice in Texas (license number 78248) 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 1508392135.

Contact Information

	Jennifer Wagner, LPC, LCDC
	702 Holly St, Atlanta, TX 75551-2308
	(903) 278-7795
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jennifer Wagner
Gender	Female
Speciality	Counselor - Professional
Location	702 Holly St, Atlanta, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508392135
Provider Enumeration Date: 05/02/2017
Last Update Date: 08/03/2020

Medicare PECOS Information:

PECOS PAC ID: 4587002761
Enrollment ID: I20240406000524

Medical Identifiers

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

Identifier	Type	State	Issuer
1508392135	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	13846 (Texas)	Secondary
101YP2500X	Counselor - Professional	78248 (Texas)	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. Jennifer Wagner allows following entities to bill medicare on her behalf.

Entity Name	Sabine Valley Regional Mhmr Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639232002 PECOS PAC ID: 0143202580 Enrollment ID: O20040601001132

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. Jennifer 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
Jennifer Wagner, LPC, LCDC Po Box 777, Atlanta, TX 75551-0777 Ph: () -	Jennifer Wagner, LPC, LCDC 702 Holly St, Atlanta, TX 75551-2308 Ph: (903) 278-7795

Reviews and Comments

Counselor in Atlanta, TX

Kelly Evans Joslin, MED., L.P.C. Counselor Medicare: Medicare Enrolled Practice Location: 604 W Main St, Atlanta, TX 75551 Phone: 903-796-0776 Fax: 903-799-9776
Angela Michelle Matlock, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 444 Pr 332, Atlanta, TX 75551 Phone: 903-799-0551
Mrs. Rosharon Shunta Turner, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1011 S William St, Atlanta, TX 75551 Phone: 903-796-2868 Fax: 903-796-0826
Mrs. Deborah James, LCDC, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1011 S William St, Atlanta, TX 75551 Phone: 903-796-2868
Dwayne Wayman Kilgore, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1008 N Louise St, Atlanta, TX 75551 Phone: 903-796-7155
Mrs. Jennifer Sellers, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1011 S William St, Atlanta, TX 75551 Phone: 903-796-2868

Jennifer Wagner, LPC, LCDC - Medicare Counselor in Atlanta, TX