Davonia Nicole Wagner Michael, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Kernersville, North Carolina. She went to University Of North Carolina At Chapel Hill School Of Medicine and graduated in 2001 and has 23 years of diverse experience with area of expertise as Pathology. She is a member of the group practice Bethany Medical Center and her current practice location is
495 Arbor Hill Rd Ste M, Kernersville, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(336) 883-0029.
Davonia Nicole Wagner Michael is licensed to practice in North Carolina (license number 200300848) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1144381401.
Physician's Profile
Full Name | Davonia Nicole Wagner Michael |
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Gender | Female |
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Speciality | Pathology |
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Experience | 23 Years |
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Location | 495 Arbor Hill Rd Ste M, Kernersville, North Carolina |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Davonia Nicole Wagner Michael attended and graduated from University Of North Carolina At Chapel Hill School Of Medicine in 2001
NPI Data:
- NPI Number: 1144381401
- Provider Enumeration Date: 12/12/2006
- Last Update Date: 05/18/2021
Medicare PECOS Information:
- PECOS PAC ID: 3173623741
- Enrollment ID: I20070711000649
Medical Identifiers
Medical identifiers for Davonia Nicole Wagner Michael such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144381401 | NPI | - | NPPES |
5906844 | Medicaid | NC | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 200300848 (North Carolina) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Bethany Medical Center | 4486614575 | 63 |
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. Davonia Nicole Wagner Michael allows following entities to bill medicare on her behalf.
Entity Name | Bethany Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1952404188 PECOS PAC ID: 4486614575 Enrollment ID: O20041013000729 |
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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. Davonia Nicole Wagner Michael 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 |
Davonia Nicole Wagner Michael, MD 507 N Lindsay St, High Point, NC 27262-4303 Ph: (336) 883-0029 | Davonia Nicole Wagner Michael, MD 495 Arbor Hill Rd Ste M, Kernersville, NC 27284-3335 Ph: (336) 883-0029 |
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