Mrs Jennifer Pusey Wagner, BSSW is a medicare enrolled "Marriage & Family Therapist" provider in Cornersville, Tennessee. Her current practice location is
485 N Main St, Cornersville, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(615) 790-0567.
Mrs Jennifer Pusey Wagner is licensed to practice in Tennessee (license number 1288) 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 1235541871.
Healthcare Provider's Profile
| Full Name | Mrs Jennifer Pusey Wagner |
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| Gender | Female |
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| Speciality | Marriage & Family Therapist |
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| Location | 485 N Main St, Cornersville, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1235541871
- Provider Enumeration Date: 06/02/2014
- Last Update Date: 07/25/2022
Medicare PECOS Information:
- PECOS PAC ID: 8325498967
- Enrollment ID: I20231222001884
Medical Identifiers
Medical identifiers for Mrs Jennifer Pusey Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1235541871 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | 1288 (Tennessee) | 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. Mrs Jennifer Pusey Wagner allows following entities to bill medicare on her behalf.
| Entity Name | Mercy Health Services, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952480501
PECOS PAC ID: 3971760133
Enrollment ID: O20120131000668 |
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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. Mrs Jennifer Pusey 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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Mrs Jennifer Pusey Wagner, BSSW
1113 Murfreesboro Rd Ste 319,
Franklin, TN 37064-1312
Ph: (615) 790-0567 | Mrs Jennifer Pusey Wagner, BSSW
485 N Main St,
Cornersville, TN 37047-4104
Ph: (615) 790-0567 |
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