Michael James Wagner, PHD is a medicare enrolled "Psychologist" provider in Tucson, Arizona. He went to University Of Arizona College Of Medicine and graduated in 1990 and has 34 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Tucson Counseling Pllc and his current practice location is
10207 E Shady Rock Ln, Tucson, Arizona. You can reach out to his office (for appointments etc.) via phone at
(520) 631-2067.
Michael James Wagner is licensed to practice in Arizona (license number 4297) 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 1013154293.
Healthcare Provider's Profile
| Full Name | Michael James Wagner |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 34 Years |
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| Location | 10207 E Shady Rock Ln, Tucson, Arizona |
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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:
- Michael James Wagner attended and graduated from University Of Arizona College Of Medicine in 1990
NPI Data:
- NPI Number: 1013154293
- Provider Enumeration Date: 01/09/2009
- Last Update Date: 06/26/2012
Medicare PECOS Information:
- PECOS PAC ID: 6608104245
- Enrollment ID: I20190821001498
Medical Identifiers
Medical identifiers for Michael James Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013154293 | NPI | - | NPPES |
| 78558 | Medicaid | NM | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 0119031 (New Mexico) | Secondary |
| 103T00000X | Psychologist | 4297 (Arizona) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Tucson Counseling Pllc | 5991950230 | 10 |
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. Michael James Wagner allows following entities to bill medicare on his behalf.
| Entity Name | Tucson Counseling Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740529460
PECOS PAC ID: 5991950230
Enrollment ID: O20130312000499 |
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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. Michael James 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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Michael James Wagner, PHD
10207 E Shady Rock Ln,
Tucson, AZ 85749-8162
Ph: (520) 631-2067 | Michael James Wagner, PHD
10207 E Shady Rock Ln,
Tucson, AZ 85749-8162
Ph: (520) 631-2067 |
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