Dr Christopher Phillip Wagner, DO is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Fort Liberty, North Carolina. His current practice location is
2817 Rock Merritt Ave, Fort Liberty, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(910) 907-6000.
Dr Christopher Phillip Wagner is licensed to practice in Pennsylvania (license number OS022534) 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 1861786063.
Physician's Profile
Full Name | Dr Christopher Phillip Wagner |
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Gender | Male |
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Speciality | Radiology - Diagnostic Radiology |
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Location | 2817 Rock Merritt Ave, Fort Liberty, North Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1861786063
- Provider Enumeration Date: 06/06/2011
- Last Update Date: 11/14/2023
Medicare PECOS Information:
- PECOS PAC ID: 5890042170
- Enrollment ID: I20221221000104
Medical Identifiers
Medical identifiers for Dr Christopher Phillip Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861786063 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 1015 (Nebraska) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | OS022534 (Pennsylvania) | 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. Dr Christopher Phillip Wagner allows following entities to bill medicare on his behalf.
Entity Name | Einstein Practice Plan Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1760434468 PECOS PAC ID: 2769395896 Enrollment ID: O20040219000728 |
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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. Dr Christopher Phillip 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 |
Dr Christopher Phillip Wagner, DO 2817 Rock Merritt Ave, Fort Liberty, NC 28310-0001 Ph: () - | Dr Christopher Phillip Wagner, DO 2817 Rock Merritt Ave, Fort Liberty, NC 28310-0001 Ph: (910) 907-6000 |
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