Sophia Collette Wagner, in Metairie, LA - Medicare Nurse Practitioner

Sophia Collette Wagner, is a medicare enrolled "Nurse Practitioner - Family" in Metairie, Louisiana. Her current practice location is 4320 Houma Blvd Fl 5, Metairie, Louisiana. You can reach out to her office (for appointments etc.) via phone at (504) 503-6565.

Sophia Collette Wagner is licensed to practice in Louisiana (license number 226793) 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 1417683277.

Contact Information

	Sophia Collette Wagner,
	4320 Houma Blvd Fl 5, Metairie, LA 70006-2961
	(504) 503-6565
	(504) 456-8053

Map and Direction

Provider's Profile

Full Name	Sophia Collette Wagner
Gender	Female
Speciality	Nurse Practitioner - Family
Location	4320 Houma Blvd Fl 5, Metairie, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417683277
Provider Enumeration Date: 07/25/2022
Last Update Date: 09/15/2022

Medicare PECOS Information:

PECOS PAC ID: 8426434630
Enrollment ID: I20220926001238

Medical Identifiers

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

Identifier	Type	State	Issuer
1417683277	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	226793 (Louisiana)	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. Sophia Collette Wagner allows following entities to bill medicare on her behalf.

Entity Name	East Jefferson Physicians Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922293372 PECOS PAC ID: 4587660402 Enrollment ID: O20090127000299

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. Sophia Collette 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
Sophia Collette Wagner, 4200 Houma Blvd, Metairie, LA 70006-2970 Ph: (504) 503-6781	Sophia Collette Wagner, 4320 Houma Blvd Fl 5, Metairie, LA 70006-2961 Ph: (504) 503-6565

Reviews and Comments

Nurse Practitioner Nurses in Metairie, LA

Ms. Heather Nicole Lombard, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3020 Kingman St, Suite B, Metairie, LA 70006 Phone: 504-353-5500
Mrs. Angela Ann Noya, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4720 S I 10 Service Rd W, Metairie, LA 70001 Phone: 504-780-4583 Fax: 504-780-4590
Annette Christine Potter, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2105 Cleary Ave # 8999, Metairie, LA 70001 Phone: 866-389-2727
Mrs. Erika May Broussard, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2905 Kingman St, Metairie, LA 70006 Phone: 504-885-3737 Fax: 504-885-5507
Mrs. Emma Cole Green, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3908 Veterans Memorial Blvd Ste B, Metairie, LA 70002 Phone: 504-399-6556
John M Hughes, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3445 N Causeway Blvd Ste 600, Metairie, LA 70002 Phone: 504-609-3282 Fax: 888-572-9218
Ms. Alexzondra Kristina Greco, MSN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3445 N Causeway Blvd Ste 901, Metairie, LA 70002 Phone: 504-366-3996

Sophia Collette Wagner, - Medicare Nurse Practitioner in Metairie, LA