Miles Wagner, AGACNP-BC in Meridian, MS - Medicare Nurse Practitioner

Miles Wagner, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" in Meridian, Mississippi. His current practice location is 2124 14th St, Meridian, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 553-6000.

Miles Wagner is licensed to practice in Mississippi (license number 906964) 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 1356056873.

Contact Information

	Miles Wagner, AGACNP-BC
	2124 14th St, Meridian, MS 39301-4040
	(601) 553-6000
	Not Available

Map and Direction

Provider's Profile

Full Name	Miles Wagner
Gender	Male
Speciality	Nurse Practitioner - Acute Care
Location	2124 14th St, Meridian, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356056873
Provider Enumeration Date: 01/19/2023
Last Update Date: 09/19/2024

Medicare PECOS Information:

PECOS PAC ID: 9931633724
Enrollment ID: I20241115002951

Medical Identifiers

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

Identifier	Type	State	Issuer
1356056873	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	906964 (Mississippi)	Primary
163W00000X	Registered Nurse	918176 (Mississippi)	Secondary

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. Miles Wagner allows following entities to bill medicare on his behalf.

Entity Name	Hospitalist Services Of Meridian Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639629777 PECOS PAC ID: 3274818042 Enrollment ID: O20170316002383

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. Miles 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
Miles Wagner, AGACNP-BC 340 Longwood Dr, Meridian, MS 39305-8231 Ph: (601) 678-3854	Miles Wagner, AGACNP-BC 2124 14th St, Meridian, MS 39301-4040 Ph: (601) 553-6000

Reviews and Comments

Nurse Practitioner Nurses in Meridian, MS

Amanda Danielle Simpson, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1800 12th St, Meridian, MS 39301 Phone: 601-484-6700
Miss Mattie P Hopson, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2701 Davis St, Meridian, MS 39301 Phone: 601-693-0118
Jennifer Lynn Webb, AGNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 329 Jeffery Acres Rd, Meridian, MS 39301 Phone: 601-527-6584
Gail Beard, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2124 14th St, Meridian, MS 39301 Phone: 601-553-6000
Mrs. Celeste M Watson, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3315 N Hills St Apt 607, #607, Meridian, MS 39305 Phone: 601-282-5429
Mrs. Karen Faye Deese, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1523 22nd Ave Ste B, Meridian, MS 39301 Phone: 601-703-8450 Fax: 601-553-6308
Patti Suzanne Weaver, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1800 12th St, Meridian, MS 39301 Phone: 601-703-4065 Fax: 601-703-3050

Miles Wagner, AGACNP-BC - Medicare Nurse Practitioner in Meridian, MS