Hanna Wagoner, RD in Springfield, MO - Medicare Dietitian, Registered Provider

Hanna Wagoner, RD is a medicare enrolled "Dietitian, Registered" provider in Springfield, Missouri. Her current practice location is 3801 S National Ave, Springfield, Missouri. You can reach out to her office (for appointments etc.) via phone at (417) 269-6000.

Hanna Wagoner is licensed to practice in Missouri (license number 86290703) 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 1285369249.

Contact Information

	Hanna Wagoner, RD
	3801 S National Ave, Springfield, MO 65807-5210
	(417) 269-6000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Hanna Wagoner
Gender	Female
Speciality	Dietitian, Registered
Location	3801 S National Ave, Springfield, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285369249
Provider Enumeration Date: 07/22/2022
Last Update Date: 07/25/2022

Medicare PECOS Information:

PECOS PAC ID: 5890178073
Enrollment ID: I20220822000940

Medical Identifiers

Medical identifiers for Hanna Wagoner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285369249	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	86290703 (Missouri)	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. Hanna Wagoner allows following entities to bill medicare on her behalf.

Provider Name	Lester E Cox Medical Centers
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1538334396 PECOS PAC ID: 1254248917 Enrollment ID: O20050624000293

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. Hanna Wagoner 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
Hanna Wagoner, RD 2504 S Barcliff Ave, Springfield, MO 65804-3533 Ph: (479) 586-8246	Hanna Wagoner, RD 3801 S National Ave, Springfield, MO 65807-5210 Ph: (417) 269-6000

Reviews and Comments

Dietitian, Registered in Springfield, MO

Frances H Bunch, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3231 S National Ave, Springfield, MO 65807 Phone: 417-820-2000
Noah Lee Alldredge, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1901 E Bennett St Ste D, Springfield, MO 65804 Phone: 417-881-1900 Fax: 417-881-1237
Mr. Samuel Bryan Yarrow, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 960 E Walnut Lawn St Ste 203, Springfield, MO 65807 Phone: 417-269-3904
Rebecca Sue Holcomb, RD Dietitian Medicare: Medicare Enrolled Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-3031
Dana S Nippes, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2000
Janice M Long-connelly, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2474 Fax: 417-820-4539
Emily Bigley, R.D. L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 960 E Walnut Lawn St, Springfield, MO 65807 Phone: 417-269-3900

Hanna Wagoner, RD - Medicare Dietitian in Springfield, MO