Linda O Wagner, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Corpus Chrristi, Texas. Her current practice location is
613 Elizabeth, Ste 813, Corpus Chrristi, Texas. You can reach out to her office (for appointments etc.) via phone at
(361) 885-7722.
Linda O Wagner is licensed to practice in Texas (license number 669710) 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 1043511967.
Provider's Profile
| Full Name | Linda O Wagner |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 613 Elizabeth, Corpus Chrristi, Texas |
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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: 1043511967
- Provider Enumeration Date: 11/09/2010
- Last Update Date: 07/21/2011
Medicare PECOS Information:
- PECOS PAC ID: 4284819814
- Enrollment ID: I20110426000446
Medical Identifiers
Medical identifiers for Linda O Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043511967 | NPI | - | NPPES |
| 669710 | Other | TX | STATE LICENSE |
| TXB122674 | Other | TX | MEDICARE PTAN RN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 669710 (Texas) | 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. Linda O Wagner allows following entities to bill medicare on her behalf.
| Entity Name | Vpa Of Texas Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679510499
PECOS PAC ID: 7618911660
Enrollment ID: O20050610000702 |
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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. Linda O 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 |
|---|
Linda O Wagner, FNP-C
Po Box 60183,
Corpus Christi, TX 78466-0183
Ph: (361) 885-7722 | Linda O Wagner, FNP-C
613 Elizabeth, Ste 813,
Corpus Chrristi, TX 78404-2232
Ph: (361) 885-7722 |
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