Michelle I Cervin -wagner, DO is a medicare enrolled "Family Medicine" physician in White Pigeon, Michigan. She went to Michigan State University College Of Osteopathic Medicine and graduated in 1990 and has 34 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Three Rivers Health System Inc and her current practice location is
601 E Chicago Rd, White Pigeon, Michigan. You can reach out to her office (for appointments etc.) via phone at
(269) 483-7624.
Michelle I Cervin -wagner is licensed to practice in Michigan (license number 5101011099) 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 1891711362.
Physician's Profile
| Full Name | Michelle I Cervin -wagner |
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| Gender | Female |
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| Speciality | Family Practice |
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| Experience | 34 Years |
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| Location | 601 E Chicago Rd, White Pigeon, Michigan |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Michelle I Cervin -wagner attended and graduated from Michigan State University College Of Osteopathic Medicine in 1990
NPI Data:
- NPI Number: 1891711362
- Provider Enumeration Date: 07/15/2006
- Last Update Date: 01/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 3173585437
- Enrollment ID: I20151110000514
Medical Identifiers
Medical identifiers for Michelle I Cervin -wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891711362 | NPI | - | NPPES |
| 1891711362 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 5101011099 (Michigan) | Primary |
| 207Q00000X | Family Medicine | 02001685 (Indiana) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Three Rivers Health System Inc | 8729245584 | 32 |
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. Michelle I Cervin -wagner allows following entities to bill medicare on her behalf.
| Entity Name | Three Rivers Health System Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720350903
PECOS PAC ID: 8729245584
Enrollment ID: O20140729001948 |
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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. Michelle I Cervin -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 |
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Michelle I Cervin -wagner, DO
3245 Health Dr Ste 100,
Granger, IN 46530-1380
Ph: () - | Michelle I Cervin -wagner, DO
601 E Chicago Rd,
White Pigeon, MI 49099-9731
Ph: (269) 483-7624 |
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