Dr Jere L Wagner, MD is a medicare enrolled "Family Medicine" physician in Shamokin, Pennsylvania. His current practice location is
2 N 8th St, Shamokin, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(570) 644-1780.
Dr Jere L Wagner is licensed to practice in Pennsylvania (license number MD025370E) 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 1730151358.
Physician's Profile
Full Name | Dr Jere L Wagner |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 2 N 8th St, Shamokin, Pennsylvania |
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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: 1730151358
- Provider Enumeration Date: 02/07/2006
- Last Update Date: 06/23/2022
Medicare PECOS Information:
- PECOS PAC ID: 5698868412
- Enrollment ID: I20070910000446
Medical Identifiers
Medical identifiers for Dr Jere L Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730151358 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | MD025370-E (Pennsylvania) | Secondary |
207Q00000X | Family Medicine | MD025370E (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 Jere L Wagner allows following entities to bill medicare on his behalf.
Entity Name | Geisinger Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
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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 Jere L 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 Jere L Wagner, MD 2 N 8th St, Shamokin, PA 17872-5607 Ph: (570) 644-1780 | Dr Jere L Wagner, MD 2 N 8th St, Shamokin, PA 17872-5607 Ph: (570) 644-1780 |
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