John M Wagner, MS in Boulder, CO - Medicare Marriage & Family Therapist Provider

John M Wagner, MS is a medicare enrolled "Marriage & Family Therapist" provider in Boulder, Colorado. His current practice location is 580 Mohawk Dr, Boulder, Colorado. You can reach out to his office (for appointments etc.) via phone at (303) 338-4545.

John M Wagner is licensed to practice in Colorado (license number MFT.0001333) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1861802498.

Contact Information

	John M Wagner, MS
	580 Mohawk Dr, Boulder, CO 80303-3712
	(303) 338-4545
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	John M Wagner
Gender	Male
Speciality	Marriage & Family Therapist
Location	580 Mohawk Dr, Boulder, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861802498
Provider Enumeration Date: 05/05/2014
Last Update Date: 06/11/2021

Medicare PECOS Information:

PECOS PAC ID: 2264875582
Enrollment ID: I20240202003541

Medical Identifiers

Medical identifiers for John M Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861802498	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	MFT.0001333 (Colorado)	Primary
101YM0800X	Counselor - Mental Health	NLC.0103614 (Colorado)	Secondary

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. John M Wagner allows following entities to bill medicare on his behalf.

Entity Name	Colorado Permanente Medical Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760599724 PECOS PAC ID: 1254238454 Enrollment ID: O20031216000640

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. John M 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
John M Wagner, MS 10350 E Dakota Ave, Denver, CO 80247-1314 Ph: () -	John M Wagner, MS 580 Mohawk Dr, Boulder, CO 80303-3712 Ph: (303) 338-4545

Reviews and Comments

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John M Wagner, MS - Medicare Couples Therapy in Boulder, CO