Ms Sarah C Wagner, PA-C is a
Physician Assistant based in Mill City, Oregon. Ms Sarah C Wagner is licensed to practice in Oregon (license number PA161499) and her current practice location is
280 S 1st Ave, Mill City, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 897-4100.
NPI number for Ms Sarah C Wagner is 1720174931 and her current mailing address is Po Box 47, Mill City, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720174931.
Provider's Profile
| Full Name | Ms Sarah C Wagner |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
|---|
| Location | 280 S 1st Ave, Mill City, Oregon |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1720174931
- Provider Enumeration Date: 10/05/2006
- Last Update Date: 05/18/2021
Medical Identifiers
Medical identifiers for Ms Sarah C Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720174931 | NPI | - | NPPES |
| 500657211 | Medicaid | OR | |
| R01271179 | Other | OR | RAILROAD MEDICARE - PH&S |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 99 (Montana) | Secondary |
| 363A00000X | Physician Assistant | PA161499 (Oregon) | Primary |
| 363A00000X | Physician Assistant | 3110 (Arizona) | Secondary |
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. Ms Sarah C Wagner is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Sarah C Wagner, PA-C
Po Box 47,
Mill City, OR 97360-0047
Ph: (503) 897-4100 | Ms Sarah C Wagner, PA-C
280 S 1st Ave,
Mill City, OR 97360-2324
Ph: (503) 897-4100 |
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