Deborah Banazak Wagenaar, DO - Medicare Psychiatry in East Lansing, MI

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Deborah Banazak Wagenaar, DO is a medicare enrolled "Psychiatry & Neurology - Geriatric Psychiatry" physician in East Lansing, Michigan. She went to Michigan State University College Of Osteopathic Medicine and graduated in 1983 and has 41 years of diverse experience with area of expertise as Psychiatry. She is a member of the group practice Edward W Sparrow Hospital Association, Harbor Beach Community Hospital Inc, Msu Health Care Inc. and her current practice location is 909 Wilson Rd Rm B119, East Lansing, Michigan. You can reach out to her office (for appointments etc.) via phone at (517) 353-3070.

Deborah Banazak Wagenaar is licensed to practice in Michigan (license number 5101008530) 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 1255315628.

Contact Information

Deborah Banazak Wagenaar, DO
909 Wilson Rd Rm B119,
East Lansing, MI 48824-6410
(517) 353-3070
(517) 884-1817

Map and Direction




Physician's Profile

Full NameDeborah Banazak Wagenaar
GenderFemale
SpecialityPsychiatry
Experience41 Years
Location909 Wilson Rd Rm B119, East Lansing, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Deborah Banazak Wagenaar attended and graduated from Michigan State University College Of Osteopathic Medicine in 1983
  NPI Data:
  • NPI Number: 1255315628
  • Provider Enumeration Date: 11/30/2005
  • Last Update Date: 06/29/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5496811994
  • Enrollment ID: I20090309000333

Medical Identifiers

Medical identifiers for Deborah Banazak Wagenaar such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255315628NPI-NPPES
1255315628MedicaidMI
3179331MedicaidMI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 5101008530 (Michigan)Secondary
2084P0805XPsychiatry & Neurology - Geriatric Psychiatry 5101008530 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Harbor Beach Community HospitalHarbor beach, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Edward W Sparrow Hospital Association6709799166525
Harbor Beach Community Hospital Inc721490348310
Msu Health Care Inc.8628404936204

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. Deborah Banazak Wagenaar allows following entities to bill medicare on her behalf.
Entity NameMichigan State University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861443269
PECOS PAC ID: 3870405954
Enrollment ID: O20031105000741
Entity NameEdward W Sparrow Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831139088
PECOS PAC ID: 6709799166
Enrollment ID: O20040102000790
Entity NameHarbor Beach Community Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619059458
PECOS PAC ID: 7214903483
Enrollment ID: O20040908001458
Entity NameReliance Community Care Partners
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861045775
PECOS PAC ID: 8921268855
Enrollment ID: O20120329000559
Entity NameMsu Health Care Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700418670
PECOS PAC ID: 8628404936
Enrollment ID: O20200518002744

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. Deborah Banazak Wagenaar 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 AddressPractice Location Address
Deborah Banazak Wagenaar, DO
804 Service Rd Ste A109b,
East Lansing, MI 48824-7015

Ph: (517) 353-3070		Deborah Banazak Wagenaar, DO
909 Wilson Rd Rm B119,
East Lansing, MI 48824-6410

Ph: (517) 353-3070

Reviews and Comments


Psychiatry & Neurology Doctors in East Lansing, MI

Debra F Duxbury, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 463 E Circle Dr, East Lansing, MI 48824
Phone: 517-884-6546    Fax: 517-432-9460
Dr. Jeffrey Allen Frey, D.O.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 909 Fee Rd, Fee Hall Room B119, East Lansing, MI 48824
Phone: 517-353-3070    Fax: 517-432-3603
John-minh Nguyen, D.O
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 965 Fee Rd, A233, East Lansing, MI 48824
Phone: 714-823-5892    
Syed Hussain, M.B.B.S.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 804 Service Road, Room A217, East Lansing, MI 48824
Phone: 517-353-8122    
Dr. Tyson Burghardt, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 804 Service Road, Room A217, East Lansing, MI 48824
Phone: 517-353-8122    Fax: 517-432-3713
Dr. Carlos Margarito Hernandez, DO
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 965 Wilson Rd Rm A233, East Lansing, MI 48824
Phone: 517-353-4362    
Michael J Lim, MD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 965 Fee Road, Room A233, Msu And Affiliated Hospitals Psychiatry Residency Prog., East Lansing, MI 48824
Phone: 248-385-3888    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.