Lisa Ann Wagner, DMD in Alpharetta, GA - Medicare Dentist Provider

Lisa Ann Wagner, DMD is a medicare enrolled "Dentist" provider in Alpharetta, Georgia. Her current practice location is 1130 Sanctuary Pkwy, Alpharetta, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 641-5168.

Lisa Ann Wagner is licensed to practice in Georgia (license number DN010372) 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 1982776712.

Contact Information

	Lisa Ann Wagner, DMD
	1130 Sanctuary Pkwy, Alpharetta, GA 30009-4839
	(770) 641-5168
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Lisa Ann Wagner
Gender	Female
Speciality	Dentist
Location	1130 Sanctuary Pkwy, Alpharetta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982776712
Provider Enumeration Date: 11/15/2006
Last Update Date: 09/20/2016

Medicare PECOS Information:

PECOS PAC ID: 5294022463
Enrollment ID: I20161003001594

Medical Identifiers

Medical identifiers for Lisa Ann Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982776712	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	DN010372 (Georgia)	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. Lisa Ann 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
Lisa Ann Wagner, DMD 425 Paris Drive, Lawrenceville, GA 30043-6144 Ph: (770) 399-1582	Lisa Ann Wagner, DMD 1130 Sanctuary Pkwy, Alpharetta, GA 30009-4839 Ph: (770) 641-5168

Reviews and Comments

Dentist in Alpharetta, GA

Dr. Roy A. Mcdonald, D.D.S., P.C. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3005 Royal Blvd S, Ste 250, Alpharetta, GA 30022 Phone: 770-667-6453 Fax: 770-667-7340
Dr. Lori Ann Mcmurry, DDS Dentist Medicare: Medicare Enrolled Practice Location: 3005 Royal Blvd S, Suite 150, Alpharetta, GA 30022 Phone: 770-410-0100 Fax: 770-410-0193
Edward S. Trizzino, Dentist Medicare: Not Enrolled in Medicare Practice Location: 3400 Old Milton Pkwy, Building C, Suite 370, Alpharetta, GA 30005 Phone: 770-777-0808 Fax: 770-777-1113
Dr. David M Pehrson, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3155 N Point Pkwy, Building D Suite 220, Alpharetta, GA 30005 Phone: 770-346-7717 Fax: 770-346-9175
Shruti Ashvin Shah, DMD Dentist Medicare: Medicare Enrolled Practice Location: 11770 Haynes Bridge Rd Ste 605, Alpharetta, GA 30009 Phone: 678-689-0205
Dr. Petula Hom-minniti, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 270 Saint Claire Dr, Suite 104, Alpharetta, GA 30004 Phone: 678-990-8592 Fax: 678-990-8594
Dr. Devang Vinaykant Shah, DMD Dentist Medicare: Medicare Enrolled Practice Location: 5455 Mcginnis Village Place, Suite 103, Alpharetta, GA 30005 Phone: 770-751-1500 Fax: 770-751-1508

Lisa Ann Wagner, DMD - Medicare Dentist in Alpharetta, GA