Dr Michael Jacob Wagner, MD in Salt Lake City, UT

Dr Michael Jacob Wagner, MD is a medicare enrolled "Anesthesiology" physician in Salt Lake City, Utah. His current practice location is 50 N Medical Dr, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 581-2121.

Dr Michael Jacob Wagner is licensed to practice in California (license number A92317) 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 1912194366.

Contact Information

	Dr Michael Jacob Wagner, MD
	50 N Medical Dr, Salt Lake City, UT 84132-0001
	(801) 581-2121
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Michael Jacob Wagner
Gender	Male
Speciality	Anesthesiology
Location	50 N Medical Dr, Salt Lake City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912194366
Provider Enumeration Date: 10/01/2007
Last Update Date: 05/16/2024

Medicare PECOS Information:

PECOS PAC ID: 6709155658
Enrollment ID: I20170707002500

Medical Identifiers

Medical identifiers for Dr Michael Jacob Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912194366	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	A92317 (California)	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 Michael Jacob Wagner allows following entities to bill medicare on his behalf.

Entity Name	University Of Utah Acuity Care Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407250541 PECOS PAC ID: 4789908534 Enrollment ID: O20150127000392

Entity Name	University Of Utah Adult Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683

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 Michael Jacob 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 Michael Jacob Wagner, MD 30 N. Mario Capecchi Dr., Helix Building 5050, Salt Lake City, UT 84112 Ph: (801) 581-6393	Dr Michael Jacob Wagner, MD 50 N Medical Dr, Salt Lake City, UT 84132-0001 Ph: (801) 581-2121

Reviews and Comments

Anesthesiology Doctors in Salt Lake City, UT

Dr. Anne Wierman Estares, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 30 N 1900 E, Rm 4c104, Salt Lake City, UT 84132 Phone: 719-314-5254
Ashley Nicole Langell, MS, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Rm 3c444, Salt Lake City, UT 84132 Phone: 801-581-3622
Dr. Nicole Jeffreys, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 100 Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-3578
Matthew L Peterson, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1200 E 3900 S, Salt Lake City, UT 84124 Phone: 801-993-9530 Fax: 801-733-5618
Dr. Jeffrey David Dillon, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 30 N 1900 E, Room 3c444, Salt Lake City, UT 84132 Phone: 801-581-6393 Fax: 801-581-4367
Jennifer Jean Davis, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-6393
Dennis L. Morris, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1200 E 3900 S, Salt Lake City, UT 84124 Phone: 801-993-9530 Fax: 801-733-5618

Dr Michael Jacob Wagner, MD - Medicare Anesthesiology in Salt Lake City, UT