Savannah Elizabeth Wagoner, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Berne, New York. Her current practice location is
1705 Helderberg Trail, Berne, New York. You can reach out to her office (for appointments etc.) via phone at
(518) 872-0009.
Savannah Elizabeth Wagoner is licensed to practice in New York (license number F351072) 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 1295433241.
Provider's Profile
| Full Name | Savannah Elizabeth Wagoner |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 1705 Helderberg Trail, Berne, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1295433241
- Provider Enumeration Date: 02/20/2023
- Last Update Date: 02/20/2023
Medicare PECOS Information:
- PECOS PAC ID: 7113392515
- Enrollment ID: I20230418000958
Medical Identifiers
Medical identifiers for Savannah Elizabeth Wagoner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1295433241 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | F351072 (New York) | 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. Savannah Elizabeth Wagoner allows following entities to bill medicare on her behalf.
| Entity Name | Hilltown Healthcare Np Family Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992350961
PECOS PAC ID: 1658602669
Enrollment ID: O20191004002577 |
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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. Savannah Elizabeth Wagoner 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 |
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Savannah Elizabeth Wagoner, FNP-BC
1705 Helderberg Trail,
Berne, NY 12023
Ph: (518) 872-0009 | Savannah Elizabeth Wagoner, FNP-BC
1705 Helderberg Trail,
Berne, NY 12023
Ph: (518) 872-0009 |
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