Dylan Paul Wagner, PA in Laurel, MS - Medicare Physician Assistant

Dylan Paul Wagner, PA is a medicare enrolled "Physician Assistant - Medical" in Laurel, Mississippi. He graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Hattiesburg Clinic, Pa and his current practice location is 2313 Highway 15 N, Laurel, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 649-2775.

Dylan Paul Wagner is licensed to practice in Mississippi (license number 00172) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1992058556.

Contact Information

	Dylan Paul Wagner, PA
	2313 Highway 15 N, Laurel, MS 39440-1805
	(601) 649-2775
	(601) 649-2686

Map and Direction

Provider's Profile

Full Name	Dylan Paul Wagner
Gender	Male
Speciality	Physician Assistant
Experience	12 Years
Location	2313 Highway 15 N, Laurel, Mississippi
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dylan Paul Wagner graduated from nursing school in 2012

NPI Data:

NPI Number: 1992058556
Provider Enumeration Date: 10/19/2012
Last Update Date: 07/23/2020

Medicare PECOS Information:

PECOS PAC ID: 5698927820
Enrollment ID: I20121214000088

Medical Identifiers

Medical identifiers for Dylan Paul Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992058556	NPI	-	NPPES
5874982	Other	MS	CIGNA
05153323	Medicaid	MS
9469937	Other	MS	AETNA
3528936	Other	MS	UNITED HEALTHCARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	00172 (Mississippi)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Hattiesburg Clinic, Pa	5193706794	488

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. Dylan Paul 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
Dylan Paul Wagner, PA 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 649-2775	Dylan Paul Wagner, PA 2313 Highway 15 N, Laurel, MS 39440-1805 Ph: (601) 649-2775

Reviews and Comments

Physician Assistant Nurses in Laurel, MS

Madelyn A Baucum, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-426-4000 Fax: 601-426-4105
Mrs. Tiffany Edwards Keith, MHS, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-426-4000 Fax: 601-426-4105
Mr. Alan Bryson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1440 Jefferson St, Laurel, MS 39440 Phone: 601-428-0577 Fax: 601-426-9854
Jillian Carroll, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1002 Jefferson St, Suite 400, Laurel, MS 39440 Phone: 601-649-7802 Fax: 601-428-7841
Jeanna Berkey, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1440 Jefferson St, Laurel, MS 39440 Phone: 601-428-0577
Jensen Ciacci, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1002 Jefferson Street, Ste 400, Laurel, MS 39440 Phone: 601-649-7802

Dylan Paul Wagner, PA - Medicare Physician Assistant in Laurel, MS