Kathleen Therese Wagner, MD in Las Vegas, NV

Kathleen Therese Wagner, MD is a medicare enrolled "Family Medicine" physician in Las Vegas, Nevada. Her current practice location is 4920 W Lone Mountain Rd, Las Vegas, Nevada. You can reach out to her office (for appointments etc.) via phone at (702) 655-0550.

Kathleen Therese Wagner is licensed to practice in Nevada (license number 9669) 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 1952342933.

Contact Information

	Kathleen Therese Wagner, MD
	4920 W Lone Mountain Rd, Las Vegas, NV 89130
	(702) 655-0550
	(702) 655-0545

Map and Direction

Physician's Profile

Full Name	Kathleen Therese Wagner
Gender	Female
Speciality	Family Medicine
Location	4920 W Lone Mountain Rd, Las Vegas, Nevada
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952342933
Provider Enumeration Date: 06/09/2006
Last Update Date: 08/20/2018

Medicare PECOS Information:

PECOS PAC ID: 9638064678
Enrollment ID: I20040219000509

Medical Identifiers

Medical identifiers for Kathleen Therese Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952342933	NPI	-	NPPES
9669	Other	NV	STATE LICENSE
002018691	Medicaid	NV
1952342933	Medicaid	NV

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	9669 (Nevada)	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. Kathleen Therese Wagner allows following entities to bill medicare on her behalf.

Entity Name	Healthcare Partners Medical Group Coats Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487631917 PECOS PAC ID: 5991866303 Enrollment ID: O20100113000898

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. Kathleen Therese 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
Kathleen Therese Wagner, MD Po Box 98978, Las Vegas, NV 89193-8978 Ph: (702) 216-3346	Kathleen Therese Wagner, MD 4920 W Lone Mountain Rd, Las Vegas, NV 89130 Ph: (702) 655-0550

Reviews and Comments

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Dr. Chad Robinson Black, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3131 La Canada St Ste 200, Las Vegas, NV 89169 Phone: 702-369-5582 Fax: 702-369-8470
Komal Dhanoa, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2580c Teddy Drive, Las Vegas, NV 89102 Phone: 702-968-3270 Fax: 702-949-6202

Kathleen Therese Wagner, MD - Medicare Family Medicine in Las Vegas, NV