Denise Lea Wagner, CNM is a medicare enrolled "Advanced Practice Midwife" in Beaufort, South Carolina. Her current practice location is
1264 Ribaut Rd Ste 200, Beaufort, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(843) 524-2466.
Denise Lea Wagner is licensed to practice in South Carolina (license number 29673) 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 1831925072.
Provider's Profile
| Full Name | Denise Lea Wagner |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 1264 Ribaut Rd Ste 200, Beaufort, South Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1831925072
- Provider Enumeration Date: 09/13/2024
- Last Update Date: 12/31/2024
Medicare PECOS Information:
- PECOS PAC ID: 9234661083
- Enrollment ID: I20241017001729
Medical Identifiers
Medical identifiers for Denise Lea Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1831925072 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367A00000X | Advanced Practice Midwife | B180151 (Iowa) | Secondary |
| 367A00000X | Advanced Practice Midwife | 29673 (South Carolina) | 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. Denise Lea Wagner allows following entities to bill medicare on her behalf.
| Entity Name | Primary Health Care Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588692487
PECOS PAC ID: 8426966755
Enrollment ID: O20031106000487 |
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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. Denise Lea 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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Denise Lea Wagner, CNM
6300 Merle Hay Rd Unit 213,
Johnston, IA 50131-1596
Ph: (515) 452-6218 | Denise Lea Wagner, CNM
1264 Ribaut Rd Ste 200,
Beaufort, SC 29902-6127
Ph: (843) 524-2466 |
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