Dr Richard George Wagner Jr, MD is a medicare enrolled "Pediatrics" physician in Isle Of Palms, South Carolina. His current practice location is
519 Ocean Blvd, Isle Of Palms, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(404) 735-1730.
Dr Richard George Wagner Jr is licensed to practice in South Carolina (license number MD40355) 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 1750380499.
Physician's Profile
Full Name | Dr Richard George Wagner Jr |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 519 Ocean Blvd, Isle Of Palms, South 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: 1750380499
- Provider Enumeration Date: 07/15/2005
- Last Update Date: 03/17/2017
Medicare PECOS Information:
- PECOS PAC ID: 1456622364
- Enrollment ID: I20170810000665
Medical Identifiers
Medical identifiers for Dr Richard George Wagner Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750380499 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | MD40355 (South Carolina) | 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 Richard George Wagner Jr allows following entities to bill medicare on his behalf.
Entity Name | University Medical Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1043241110 PECOS PAC ID: 6305758574 Enrollment ID: O20031105000291 |
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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 Richard George Wagner Jr 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 Richard George Wagner Jr, MD 519 Ocean Blvd, Isle Of Palms, SC 29451-2132 Ph: (404) 735-1730 | Dr Richard George Wagner Jr, MD 519 Ocean Blvd, Isle Of Palms, SC 29451-2132 Ph: (404) 735-1730 |
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