Courtney Wagner, DPT in Green Bay, WI - Medicare Physical Therapist Provider

Courtney Wagner, DPT is a medicare enrolled "Physical Therapist" provider in Green Bay, Wisconsin. Her current practice location is 3021 Voyager Dr, Green Bay, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 496-4700.

Courtney Wagner is licensed to practice in Wisconsin (license number 16642-24) 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 1104546399.

Contact Information

	Courtney Wagner, DPT
	3021 Voyager Dr, Green Bay, WI 54311-8303
	(920) 496-4700
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Courtney Wagner
Gender	Female
Speciality	Physical Therapist
Location	3021 Voyager Dr, Green Bay, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104546399
Provider Enumeration Date: 08/30/2022
Last Update Date: 05/23/2024

Medicare PECOS Information:

PECOS PAC ID: 2264818574
Enrollment ID: I20221010001462

Medical Identifiers

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

Identifier	Type	State	Issuer
1104546399	NPI	-	NPPES
100273462	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	39352 (Florida)	Secondary
225100000X	Physical Therapist	16642-24 (Wisconsin)	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	Saint Augustine Rehabilitation Specialists Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1548407521 PECOS PAC ID: 8426107293 Enrollment ID: O20090527000537

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, DPT Po Box 19070, Green Bay, WI 54307-9070 Ph: (920) 496-4700	Courtney Wagner, DPT 3021 Voyager Dr, Green Bay, WI 54311-8303 Ph: (920) 496-4700

Reviews and Comments

Physical Therapist in Green Bay, WI

Anne Marie Hein, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3101 S Packerland Dr, Green Bay, WI 54313 Phone: 920-592-3845
Breanna Marie Peters, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1660 Hoffman Rd, Green Bay, WI 54311 Phone: 920-351-8725
Ellen Linskens, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-8000
Alexander Lee Peterson, D-PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3263 Eaton Rd, Green Bay, WI 54311 Phone: 920-433-6700 Fax: 920-433-6719
Mr. Thomas J Krahn, DPT, LAT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2502 S. Ashland Ave., Green Bay, WI 54304 Phone: 920-496-4750
Tony James Busse, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1920 Libal St, Green Bay, WI 54301 Phone: 920-433-0111 Fax: 920-433-8765
Jill Ball, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1760 Shawano Ave, Green Bay, WI 54303 Phone: 605-830-8227

Courtney Wagner, DPT - Medicare Physical Therapist in Green Bay, WI