Mr Anthony Mark Wagner, FNP in Maryville, TN - Medicare Nurse Practitioner

Mr Anthony Mark Wagner, FNP is a medicare enrolled "Nurse Practitioner - Family" in Maryville, Tennessee. His current practice location is 210 Simmons St, Maryville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (865) 970-9800.

Mr Anthony Mark Wagner is licensed to practice in Tennessee (license number 11134) 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 1659436830.

Contact Information

	Mr Anthony Mark Wagner, FNP
	210 Simmons St, Maryville, TN 37801
	(865) 970-9800
	(865) 983-4518

Map and Direction

Provider's Profile

Full Name	Mr Anthony Mark Wagner
Gender	Male
Speciality	Nurse Practitioner - Family
Location	210 Simmons St, Maryville, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659436830
Provider Enumeration Date: 12/27/2006
Last Update Date: 05/29/2018

Medicare PECOS Information:

PECOS PAC ID: 9335153667
Enrollment ID: I20090713000693

Medical Identifiers

Medical identifiers for Mr Anthony Mark Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659436830	NPI	-	NPPES
1514002	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN129889 NP (Georgia)	Secondary
363LF0000X	Nurse Practitioner - Family	11134 (Tennessee)	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. Mr Anthony Mark Wagner allows following entities to bill medicare on his behalf.

Entity Name	Parkwest Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396739165 PECOS PAC ID: 8527965417 Enrollment ID: O20040429000423

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. Mr Anthony Mark 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
Mr Anthony Mark Wagner, FNP 1400 Centerpoint Blvd Ste 158, Knoxville, TN 37932-1966 Ph: (865) 374-5806	Mr Anthony Mark Wagner, FNP 210 Simmons St, Maryville, TN 37801 Ph: (865) 970-9800

Reviews and Comments

Nurse Practitioner Nurses in Maryville, TN

Mrs. Kellie R. Gaby, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 405 Bmh Physicians Office Bldg, Maryville, TN 37804 Phone: 865-238-6430 Fax: 865-238-6444
Mrs. Olga Maria Gardner, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-980-4897 Fax: 865-977-4722
Christina Marie Valentin, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-980-4897 Fax: 865-977-4796
Dalya Tobea Frank, APN, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-980-4897 Fax: 865-977-4722
Harley Gibbs, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 118 Parliament Dr Ste A, Maryville, TN 37804 Phone: 561-716-6894
Samantha Pendergrass, MSN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-977-5795
Alyssa R. Atchley, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1012 Jamestown Way, Maryville, TN 37803 Phone: 865-246-2104 Fax: 865-246-2106

Mr Anthony Mark Wagner, FNP - Medicare Nurse Practitioner in Maryville, TN