Erik W Wagner, FNP in Mesa, AZ - Medicare Nurse Practitioner

Erik W Wagner, FNP is a medicare enrolled "Nurse Practitioner - Family" in Mesa, Arizona. His current practice location is 4838 E. Baseline Rd., Bldg 2, Suite 109, Mesa, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 969-4040.

Erik W Wagner is licensed to practice in Arizona (license number AP4826) 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 1033129150.

Contact Information

	Erik W Wagner, FNP
	4838 E. Baseline Rd., Bldg 2, Suite 109, Mesa, AZ 85206-4677
	(480) 969-4040
	(480) 830-1042

Map and Direction

Provider's Profile

Full Name	Erik W Wagner
Gender	Male
Speciality	Nurse Practitioner - Family
Location	4838 E. Baseline Rd., Mesa, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033129150
Provider Enumeration Date: 08/09/2006
Last Update Date: 11/21/2019

Medicare PECOS Information:

PECOS PAC ID: 0042450678
Enrollment ID: I20130717000168

Medical Identifiers

Medical identifiers for Erik W Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033129150	NPI	-	NPPES
Z233314	Other	AZ	MEDICARE PTAN
825839	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	TAP4826 (Arizona)	Secondary
363LF0000X	Nurse Practitioner - Family	AP4826 (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. Erik W Wagner allows following entities to bill medicare on his behalf.

Entity Name	George Wang,md,llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184679201 PECOS PAC ID: 6608789755 Enrollment ID: O20031106000242

Entity Name	Integrated Pain Consultants Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538612965 PECOS PAC ID: 4284922204 Enrollment ID: O20161006002055

Entity Name	Wellness 1st Integrative Medical Center, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053825364 PECOS PAC ID: 1850634551 Enrollment ID: O20190521001875

Entity Name	Ahir Med, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912631755 PECOS PAC ID: 1456735331 Enrollment ID: O20220825003354

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. Erik W 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
Erik W Wagner, FNP 4824 E Baseline Rd, Suite 110, Mesa, AZ 85206-4676 Ph: (480) 969-4040	Erik W Wagner, FNP 4838 E. Baseline Rd., Bldg 2, Suite 109, Mesa, AZ 85206-4677 Ph: (480) 969-4040

Reviews and Comments

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Erik W Wagner, FNP - Medicare Nurse Practitioner in Mesa, AZ