Michelle Lynn Wagner, CNP in Detroit, MI - Medicare Nurse Practitioner

Michelle Lynn Wagner, CNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Detroit, Michigan. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Promedica Central Physicians and her current practice location is 2799 W Grand Blvd, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 916-5071.

Michelle Lynn Wagner is licensed to practice in Ohio (license number NP14886) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1689006181.

Contact Information

	Michelle Lynn Wagner, CNP
	2799 W Grand Blvd, Detroit, MI 48202-2608
	(313) 916-5071
	Not Available

Map and Direction

Provider's Profile

Full Name	Michelle Lynn Wagner
Gender	Female
Speciality	Nurse Practitioner
Experience	11 Years
Location	2799 W Grand Blvd, Detroit, Michigan
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Michelle Lynn Wagner graduated from nursing school in 2013

NPI Data:

NPI Number: 1689006181
Provider Enumeration Date: 08/07/2013
Last Update Date: 11/03/2023

Medicare PECOS Information:

PECOS PAC ID: 0941443394
Enrollment ID: I20130904000218

Medical Identifiers

Medical identifiers for Michelle Lynn Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689006181	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	NP14886 (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Promedica Toledo Hospital	Toledo, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Promedica Central Physicians	2365348190	827

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. Michelle Lynn Wagner allows following entities to bill medicare on her behalf.

Entity Name	Promedica Central Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043270150 PECOS PAC ID: 2365348190 Enrollment ID: O20031211000226

Entity Name	The Toledo Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407854771 PECOS PAC ID: 2961309638 Enrollment ID: O20031218001042

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. Michelle Lynn 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
Michelle Lynn Wagner, CNP 2799 W Grand Blvd, Detroit, MI 48202-2608 Ph: (419) 291-4000	Michelle Lynn Wagner, CNP 2799 W Grand Blvd, Detroit, MI 48202-2608 Ph: (313) 916-5071

Reviews and Comments

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Michelle Lynn Wagner, CNP - Medicare Nurse Practitioner in Detroit, MI