Amanda Griffin Wagner, MS, OTR/L is a
Occupational Therapist based in Colbert, Georgia. Amanda Griffin Wagner is licensed to practice in Georgia (license number OT003237) and her current practice location is
11 Charlie Morris Rd Bldg 2, Colbert, Georgia. She can be reached at her office (for appointments etc.) via phone at
(706) 788-2127.
NPI number for Amanda Griffin Wagner is 1154399152 and her current mailing address is Po Box 459, Colbert, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154399152.
Healthcare Provider's Profile
| Full Name | Amanda Griffin Wagner |
|---|
| Gender | Female |
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| Speciality | Occupational Therapist |
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| Location | 11 Charlie Morris Rd Bldg 2, Colbert, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1154399152
- Provider Enumeration Date: 03/08/2006
- Last Update Date: 09/21/2018
Medical Identifiers
Medical identifiers for Amanda Griffin Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154399152 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | OT003237 (Georgia) | Primary |
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | OT003237 (Georgia) | 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. Amanda Griffin 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 |
|---|
Amanda Griffin Wagner, MS, OTR/L
Po Box 459,
Colbert, GA 30628-0459
Ph: (706) 788-3234 | Amanda Griffin Wagner, MS, OTR/L
11 Charlie Morris Rd Bldg 2,
Colbert, GA 30628-2445
Ph: (706) 788-2127 |
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