Mr Paul Phillip Wager Jr, MFT in San Clemente, CA - Medicare Marriage & Family Therapist Provider

Mr Paul Phillip Wager Jr, MFT is a medicare enrolled "Marriage & Family Therapist" provider in San Clemente, California. His current practice location is 161 Avenida Cabrillo, San Clemente, California. You can reach out to his office (for appointments etc.) via phone at (949) 285-5486.

Mr Paul Phillip Wager Jr is licensed to practice in California (license number MFT 38677) 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 1336367267.

Contact Information

	Mr Paul Phillip Wager Jr, MFT
	161 Avenida Cabrillo, San Clemente, CA 92672-4040
	(949) 285-5486
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Paul Phillip Wager Jr
Gender	Male
Speciality	Marriage & Family Therapist
Location	161 Avenida Cabrillo, San Clemente, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336367267
Provider Enumeration Date: 04/23/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 2466997721
Enrollment ID: I20240710004165

Medical Identifiers

Medical identifiers for Mr Paul Phillip Wager Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336367267	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	MFT 38677 (California)	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. Mr Paul Phillip Wager Jr allows following entities to bill medicare on his behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Mr Paul Phillip Wager Jr 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
Mr Paul Phillip Wager Jr, MFT 161 Avenida Cabrillo, San Clemente, CA 92672-4040 Ph: (949) 285-5486	Mr Paul Phillip Wager Jr, MFT 161 Avenida Cabrillo, San Clemente, CA 92672-4040 Ph: (949) 285-5486

Reviews and Comments

Marriage & Family Therapist in San Clemente, CA

Mari Konoshima Andersen, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3551 Camino Mira Costa Ste T, San Clemente, CA 92672 Phone: 949-272-4444
Tracy Rose Cynthia Lisauskas, LMFT, MA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3504 Avenida Del Presidente Apt 20, San Clemente, CA 92672 Phone: 562-261-4103
Mrs. Sharon Marie Roybal, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3551 Camino Mira Costa, San Clemente, CA 92672 Phone: 949-632-7355 Fax: 949-248-7304
Michael Burke, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 161 Avenida Cabrillo, San Clemente, CA 92672 Phone: 925-301-6352
Jennifer Reza, M.A. LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1401 N El Camino Real, Suite 106, San Clemente, CA 92672 Phone: 949-287-4289
Ms. Kerreen Chau, IMF Couples Therapy Medicare: Medicare Enrolled Practice Location: 101 S El Camino Real Ste 106, San Clemente, CA 92672 Phone: 949-769-0153 Fax: 619-378-7973
Donna Carollo, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 657 Camino De Los Mares Ste 241, San Clemente, CA 92673 Phone: 949-547-2957

Mr Paul Phillip Wager Jr, MFT - Medicare Couples Therapy in San Clemente, CA