Courtney Wagner, in Andover, MN - Medicare Speech-Language Pathologist Provider

Courtney Wagner, is a medicare enrolled "Speech-language Pathologist" provider in Andover, Minnesota. Her current practice location is 1891 Station Pkwy Nw, Andover, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 755-4275.

Courtney Wagner is licensed to practice in * (Not Available) (license number ) 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 1023680451.

Contact Information

	Courtney Wagner,
	1891 Station Pkwy Nw, Andover, MN 55304-3341
	(763) 755-4275
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Courtney Wagner
Gender	Female
Speciality	Speech-language Pathologist
Location	1891 Station Pkwy Nw, Andover, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023680451
Provider Enumeration Date: 07/14/2021
Last Update Date: 07/14/2021

Medicare PECOS Information:

PECOS PAC ID: 3870997018
Enrollment ID: I20210810001294

Medical Identifiers

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

Identifier	Type	State	Issuer
1023680451	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	(* (Not Available))	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. Courtney Wagner allows following entities to bill medicare on her behalf.

Provider Name	Family Speech & Therapy Services Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1235285966 PECOS PAC ID: 8022335397 Enrollment ID: O20150325001650

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. Courtney 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
Courtney Wagner, 1891 Station Pkwy Nw, Andover, MN 55304-3341 Ph: (763) 755-4275	Courtney Wagner, 1891 Station Pkwy Nw, Andover, MN 55304-3341 Ph: (763) 755-4275

Reviews and Comments

Speech-Language Pathologist in Andover, MN

Megan Dierking, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304 Phone: 763-755-4275
Mrs. Melissa Sue Lonsky, CCC-SLP, OM Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 13750 Crosstown Dr Nw, Andover, MN 55304 Phone: 763-755-4275 Fax: 763-755-4261
Kristina Dose, MA, SLLP-CF/DE Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304 Phone: 763-755-4275 Fax: 763-755-4261
Ms. Kelsey Anne Wegner, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304 Phone: 763-755-4275
Nicole Morrissey, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304 Phone: 763-350-0371
Kayla Braun, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304 Phone: 763-755-4275

Courtney Wagner, - Medicare Speech-Language Pathologist in Andover, MN