Miss Myesha J Wagner, FNP-C in Fayetteville, GA

Miss Myesha J Wagner, FNP-C is a medicare enrolled "Nurse Practitioner" in Fayetteville, Georgia. Her current practice location is 132 Old Norton Rd Ste 200, Fayetteville, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 817-1117.

Miss Myesha J Wagner is licensed to practice in Georgia (license number RN258179) 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 1952032112.

Contact Information

	Miss Myesha J Wagner, FNP-C
	132 Old Norton Rd Ste 200, Fayetteville, GA 30215-4873
	(678) 817-1117
	(678) 817-0823

Map and Direction

Provider's Profile

Full Name	Miss Myesha J Wagner
Gender	Female
Speciality	Nurse Practitioner
Location	132 Old Norton Rd Ste 200, Fayetteville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952032112
Provider Enumeration Date: 06/20/2022
Last Update Date: 06/28/2023

Medicare PECOS Information:

PECOS PAC ID: 8729464755
Enrollment ID: I20220928003470

Medical Identifiers

Medical identifiers for Miss Myesha J Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952032112	NPI	-	NPPES
G34406A	Other	GA	MEDICARE PTAN
003274648A	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN258179 (Georgia)	Secondary
363L00000X	Nurse Practitioner	RN258179 (Georgia)	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. Miss Myesha J Wagner allows following entities to bill medicare on her behalf.

Entity Name	The Emory Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503

Entity Name	Nsh Cancer Institute Professional Services G Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144571381 PECOS PAC ID: 0840443164 Enrollment ID: O20130128000225

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. Miss Myesha J 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
Miss Myesha J Wagner, FNP-C 1835 Savoy Dr Ste 300, Atlanta, GA 30341-1071 Ph: (678) 288-9555	Miss Myesha J Wagner, FNP-C 132 Old Norton Rd Ste 200, Fayetteville, GA 30215-4873 Ph: (678) 817-1117

Reviews and Comments

Nurse Practitioner Nurses in Fayetteville, GA

Ms. Philicia Duncan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 735 Glynn Street South, Fayetteville, GA 30214 Phone: 770-461-4126
Brittney Shay Pasko, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1267 Highway 54 W Ste 2200, Fayetteville, GA 30214 Phone: 770-719-0051 Fax: 770-716-0087
Angela Miller, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1255 Highway 54 W, Fayetteville, GA 30214 Phone: 770-719-6799 Fax: 770-719-6059
Eleasa Milano, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 Heatherden Ave, Fayetteville, GA 30214 Phone: 808-446-4609
Erin Dee Smith, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1336 Highway 54 W Bldg 500, Fayetteville, GA 30214 Phone: 770-461-1238
Mrs. Ashley Miller, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1240 Highway 54 W Ste 602, Fayetteville, GA 30214 Phone: 678-971-4167 Fax: 833-989-2501
Omolola Otubaga, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Beckett Ln, Ste. 304, Fayetteville, GA 30214 Phone: 770-703-4448 Fax: 770-703-4038

Miss Myesha J Wagner, FNP-C - Medicare Nurse Practitioner in Fayetteville, GA