Pamela Jean Wagner, LPC in Prescott, AZ - Medicare Counselor Provider

Pamela Jean Wagner, LPC is a medicare enrolled "Counselor" provider in Prescott, Arizona. Her current practice location is 3390 Marigold Dr, Prescott, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 499-2358.

Pamela Jean Wagner is licensed to practice in Arizona (license number LPC-21646) 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 1982316972.

Contact Information

	Pamela Jean Wagner, LPC
	3390 Marigold Dr, Prescott, AZ 86305-3714
	(928) 499-2358
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Pamela Jean Wagner
Gender	Female
Speciality	Counselor
Location	3390 Marigold Dr, Prescott, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982316972
Provider Enumeration Date: 12/21/2022
Last Update Date: 12/21/2022

Medicare PECOS Information:

PECOS PAC ID: 3870930233
Enrollment ID: I20240320002849

Medical Identifiers

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

Identifier	Type	State	Issuer
1982316972	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	LPC-21646 (Arizona)	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. Pamela Jean Wagner allows following entities to bill medicare on her behalf.

Entity Name	Sea Glass Mental Health Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417688821 PECOS PAC ID: 0547643959 Enrollment ID: O20240319002056

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. Pamela Jean 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
Pamela Jean Wagner, LPC 3390 Marigold Dr, Prescott, AZ 86305-3714 Ph: (928) 499-2358	Pamela Jean Wagner, LPC 3390 Marigold Dr, Prescott, AZ 86305-3714 Ph: (928) 499-2358

Reviews and Comments

Counselor in Prescott, AZ

Mr. Gary Hees, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 505 Whipple St, Prescott, AZ 86301 Phone: 928-778-4600 Fax: 928-778-2221
Ms. Deborah Kay Carson, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1678 Oaklawn Dr, Prescott, AZ 86305 Phone: 928-533-7527 Fax: 928-708-0120
Mrs. Gail Ann Wagner, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 143 E Merritt St, Prescott, AZ 86301 Phone: 928-445-5027 Fax: 928-445-7071
Ms. Mary Jo Fleming, M.A. PROFESSIONAL CO Counselor Medicare: Not Enrolled in Medicare Practice Location: 919 12th Place Ste 13, Recovery In The Pines, Prescott, AZ 86301 Phone: 928-227-2967
Colleen M Tretton, LPC, SEP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2850 W Granite Oaks Dr, Prescott, AZ 86305 Phone: 928-308-3129
Mr. William James Bilbray, MS, LISAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 702 W Hillside Ave, Prescott, AZ 86301 Phone: 928-710-9229 Fax: 928-710-9229
Ms. Bonnie D Grossman, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 505 Whipple St, Prescott, AZ 86301 Phone: 928-308-9050

Pamela Jean Wagner, LPC - Medicare Counselor in Prescott, AZ