Blair Kelly Wagner, DNP in Louisville, KY - Medicare Nurse Practitioner

Blair Kelly Wagner, DNP is a medicare enrolled "Nurse Practitioner" in Louisville, Kentucky. Her current practice location is 4123 Dutchmans Ln, Louisville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (502) 333-8855.

Blair Kelly Wagner is licensed to practice in Kentucky (license number 3013869) 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 1518509777.

Contact Information

	Blair Kelly Wagner, DNP
	4123 Dutchmans Ln, Louisville, KY 40207-4707
	(502) 333-8855
	Not Available

Map and Direction

Provider's Profile

Full Name	Blair Kelly Wagner
Gender	Female
Speciality	Nurse Practitioner
Location	4123 Dutchmans Ln, Louisville, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518509777
Provider Enumeration Date: 10/09/2019
Last Update Date: 02/18/2021

Medicare PECOS Information:

PECOS PAC ID: 1153755632
Enrollment ID: I20210225001021

Medical Identifiers

Medical identifiers for Blair Kelly Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518509777	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	173292 (Montana)	Secondary
363LN0000X	Nurse Practitioner - Neonatal	3013869 (Kentucky)	Secondary
363L00000X	Nurse Practitioner	3013869 (Kentucky)	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. Blair Kelly Wagner allows following entities to bill medicare on her behalf.

Entity Name	Scl Health Montana
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083655997 PECOS PAC ID: 3476457714 Enrollment ID: O20031229000380

Entity Name	Scl Health Medical Group - Billings Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508289703 PECOS PAC ID: 9638491574 Enrollment ID: O20141204001495

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. Blair Kelly 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
Blair Kelly Wagner, DNP Po Box 776351, Chicago, IL 60677-6351 Ph: (502) 272-5063	Blair Kelly Wagner, DNP 4123 Dutchmans Ln, Louisville, KY 40207-4707 Ph: (502) 333-8855

Reviews and Comments

Nurse Practitioner Nurses in Louisville, KY

Jacob William Harvey Jr., APRN-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 516 W Breckinridge St, Louisville, KY 40203 Phone: 502-648-7909
Harold Dean O'brien, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1357 Bardstown Rd, Louisville, KY 40204 Phone: 502-897-6443 Fax: 502-897-3461
Tricia L. Flake, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4402 Churchman Ave, Suite 410, Louisville, KY 40215 Phone: 502-367-6322 Fax: 502-380-3843
Aimee Christine Mihalyov, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 400 E Gray St, Louisville, KY 40202 Phone: 502-574-6617 Fax: 502-574-8666
Amanda Danielle Saccone, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1930 Bishop Ln Fl 12, Louisville, KY 40218 Phone: 502-272-5220 Fax: 502-272-5117
Celaida Lezcano, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 234 E Gray St Ste 670, Louisville, KY 40202 Phone: 502-629-4525 Fax: 502-629-4529
Victoria Jean Shipman, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 315 E Broadway Fl 4, Louisville, KY 40202 Phone: 502-629-2500

Blair Kelly Wagner, DNP - Medicare Nurse Practitioner in Louisville, KY