Mitchell Wagner, MD is a medicare enrolled "Orthopaedic Surgery - Orthopaedic Trauma" physician in Wickenburg, Arizona. His current practice location is
520 Rose Ln, Wickenburg, Arizona. You can reach out to his office (for appointments etc.) via phone at
(928) 684-4365.
Mitchell Wagner is licensed to practice in Arizona (license number 27272) 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 1447330741.
Physician's Profile
Full Name | Mitchell Wagner |
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Gender | Male |
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Speciality | Orthopaedic Surgery - Orthopaedic Trauma |
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Location | 520 Rose Ln, Wickenburg, Arizona |
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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: 1447330741
- Provider Enumeration Date: 10/17/2006
- Last Update Date: 02/03/2016
Medicare PECOS Information:
- PECOS PAC ID: 2668430588
- Enrollment ID: I20041223000235
Medical Identifiers
Medical identifiers for Mitchell Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1447330741 | NPI | - | NPPES |
457920 | Medicaid | AZ | |
AZ0866130 | Other | AZ | BCBS |
7878067 | Other | AZ | AETNA |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207X00000X | Orthopaedic Surgery | 27272 (Arizona) | Secondary |
207XX0801X | Orthopaedic Surgery - Orthopaedic Trauma | 27272 (Arizona) | 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. Mitchell Wagner allows following entities to bill medicare on his behalf.
Entity Name | Community Hospital Association Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1841282852 PECOS PAC ID: 4981688900 Enrollment ID: O20040616001475 |
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Entity Name | Community Hospital Association Inc |
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Entity Type | Part A Provider - Critical Access Hospital |
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Entity Identifiers | NPI Number: 1841282852 PECOS PAC ID: 4981688900 Enrollment ID: O20061104000489 |
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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. Mitchell 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 |
Mitchell Wagner, MD 520 Rose Ln, Wickenburg, AZ 85390-1447 Ph: (928) 684-4365 | Mitchell Wagner, MD 520 Rose Ln, Wickenburg, AZ 85390-1447 Ph: (928) 684-4365 |
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