Ms Susan Folmar Wagner, QMHP, MS is a
Marriage & Family Therapist based in Bandon, Oregon. Ms Susan Folmar Wagner is licensed to practice in California (license number MFC 15083) and her current practice location is
1040 Allegheny Ave Sw, Ocean Crest School, Bandon, Oregon. She can be reached at her office (for appointments etc.) via phone at
(541) 347-4940.
NPI number for Ms Susan Folmar Wagner is 1437353976 and her current mailing address is 1975 Mcpherson St, Suite 2, North Bend, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1437353976.
Healthcare Provider's Profile
Full Name | Ms Susan Folmar Wagner |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 1040 Allegheny Ave Sw, Bandon, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1437353976
- Provider Enumeration Date: 06/11/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Ms Susan Folmar Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1437353976 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
101YS0200X | Counselor - School | (* (Not Available)) | Primary |
106H00000X | Marriage & Family Therapist | MFC 15083 (California) | 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. Ms Susan Folmar Wagner is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Susan Folmar Wagner, QMHP, MS 1975 Mcpherson St, Suite 2, North Bend, OR 97459-3482 Ph: (541) 347-4940 | Ms Susan Folmar Wagner, QMHP, MS 1040 Allegheny Ave Sw, Ocean Crest School, Bandon, OR 97411-9034 Ph: (541) 347-4940 |
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