Dr Rosalie Ann Wagner, MD is a medicare enrolled "Pediatrics" physician in Hubbard, Ohio. Her current practice location is
520 Creekside Dr, Hubbard, Ohio. You can reach out to her office (for appointments etc.) via phone at
(330) 240-9923.
Dr Rosalie Ann Wagner is licensed to practice in Ohio (license number 096858) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1528379237.
Physician's Profile
Full Name | Dr Rosalie Ann Wagner |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 520 Creekside Dr, Hubbard, Ohio |
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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: 1528379237
- Provider Enumeration Date: 06/28/2010
- Last Update Date: 01/20/2022
Medicare PECOS Information:
- PECOS PAC ID: 7214190438
- Enrollment ID: I20120524000606
Medical Identifiers
Medical identifiers for Dr Rosalie Ann Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528379237 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 57015970 (Ohio) | Secondary |
208000000X | Pediatrics | 096858 (Ohio) | 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 Rosalie Ann Wagner allows following entities to bill medicare on her behalf.
Entity Name | Mercy Health Physicians North Specialty Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1306468418 PECOS PAC ID: 1951707884 Enrollment ID: O20210901001534 |
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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 Rosalie Ann 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 Rosalie Ann Wagner, MD 520 Creekside Dr, Hubbard, OH 44425-2676 Ph: (330) 240-9923 | Dr Rosalie Ann Wagner, MD 520 Creekside Dr, Hubbard, OH 44425-2676 Ph: (330) 240-9923 |
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