Michael James Wagner, PHD is a medicare enrolled "Psychologist" provider in Tucson, Arizona. 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 | |
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Experience | 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. |
Medical Education and Training:
- Michael James Wagner attended and graduated from in
NPI Data:
- NPI Number: 1013154293
- Provider Enumeration Date: 01/09/2009
- Last Update Date: 06/26/2012
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 |
101YM0800X | Counselor - Mental Health | 0119031 (New Mexico) | Secondary |
103T00000X | Psychologist | 4297 (Arizona) | 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. 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 |
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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