Jacqueline Lee Wagner, ARNP in Coeur D Alene, ID

Jacqueline Lee Wagner, ARNP is a medicare enrolled "Family Medicine" physician in Coeur D Alene, Idaho. She graduated from medical school in 2012 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is 1713 E Sherman Ave, Coeur D Alene, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 966-4087.

Jacqueline Lee Wagner is licensed to practice in Idaho (license number NP1283A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1447598362.

Contact Information

	Jacqueline Lee Wagner, ARNP
	1713 E Sherman Ave, Coeur D Alene, ID 83814-5326
	(208) 966-4087
	(208) 966-4031

Map and Direction

Physician's Profile

Full Name	Jacqueline Lee Wagner
Gender	Female
Speciality	Nurse Practitioner
Experience	13 Years
Location	1713 E Sherman Ave, Coeur D Alene, Idaho
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jacqueline Lee Wagner graduated from medical school in 2012

NPI Data:

NPI Number: 1447598362
Provider Enumeration Date: 01/28/2013
Last Update Date: 08/17/2016

Medicare PECOS Information:

PECOS PAC ID: 7315187093
Enrollment ID: I20140407000617

Medical Identifiers

Medical identifiers for Jacqueline Lee Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447598362	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	NP1283A (Idaho)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Northwest Specialty Hospital	Post falls, ID	Hospital

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. Jacqueline Lee Wagner allows following entities to bill medicare on her behalf.

Entity Name	Family Practice By The Lake Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295283810 PECOS PAC ID: 7113205931 Enrollment ID: O20161031000460

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. Jacqueline Lee 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
Jacqueline Lee Wagner, ARNP 1713 E Sherman Ave, Coeur D Alene, ID 83814-5326 Ph: (208) 966-4087	Jacqueline Lee Wagner, ARNP 1713 E Sherman Ave, Coeur D Alene, ID 83814-5326 Ph: (208) 966-4087

Reviews and Comments

Family Medicine Doctors in Coeur D Alene, ID

Erica Magers, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 914 W Ironwood Dr Ste 101, Coeur D Alene, ID 83814 Phone: 208-625-3500 Fax: 208-625-3501
Dr. Stephen Paul Smiley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1130 W Prairie Ave, Coeur D Alene, ID 83815 Phone: 208-209-0288 Fax: 208-209-0289
Heidi A Herold, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 315 W Dalton Ave Ste B, Coeur D Alene, ID 83815 Phone: 208-209-2066 Fax: 208-209-2076
Ryan John Gilles, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1919 Lincoln Way, 315, Coeur D Alene, ID 83814 Phone: 208-625-6000 Fax: 208-625-6001
Dr. Matthew C. Bean, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1919 Lincoln Way Ste 315, Coeur D Alene, ID 83814 Phone: 208-625-6000 Fax: 208-625-6001
Alanna Caitlin Russo, NP Family Medicine Medicare: Medicare Enrolled Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-625-4000
Crystal Lee Pyrak, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1919 Lincoln Way, Ste 315, Coeur D Alene, ID 83814 Phone: 208-625-6000 Fax: 208-625-6001

Jacqueline Lee Wagner, ARNP - Medicare Nurse Practitioner in Coeur D Alene, ID