Holly M Wagner, MPT in Orange, CA - Medicare Physical Therapist Provider

Holly M Wagner, MPT is a medicare enrolled "Physical Therapist" provider in Orange, California. Her current practice location is 1178 N Tustin St, Orange, California. You can reach out to her office (for appointments etc.) via phone at (714) 289-7790.

Holly M Wagner is licensed to practice in California (license number 25502) 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 1285767350.

Contact Information

	Holly M Wagner, MPT
	1178 N Tustin St, Orange, CA 92867-6006
	(714) 289-7790
	(714) 289-7786

Map and Direction

Healthcare Provider's Profile

Full Name	Holly M Wagner
Gender	Female
Speciality	Physical Therapist
Location	1178 N Tustin St, Orange, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285767350
Provider Enumeration Date: 03/14/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 7517938509
Enrollment ID: I20040803001532

Medical Identifiers

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

Identifier	Type	State	Issuer
1285767350	NPI	-	NPPES
1154327922	Other	CA	TYPE TWO NPI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	25502 (California)	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. Holly M Wagner allows following entities to bill medicare on her behalf.

Provider Name	Hairston & Daley Physical Therapy A Professional Corporation
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1154327922 PECOS PAC ID: 5294706297 Enrollment ID: O20061102000386

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. Holly M 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
Holly M Wagner, MPT 1178 N Tustin St, Orange, CA 92867-6006 Ph: (714) 289-7790	Holly M Wagner, MPT 1178 N Tustin St, Orange, CA 92867-6006 Ph: (714) 289-7790

Reviews and Comments

Physical Therapist in Orange, CA

Ray Physical Therapy Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 388 W Tulip Tree Ave, Orange, CA 92865 Phone: 714-906-8399
Star Clinic Physical Therapist Medicare: Medicare Enrolled Practice Location: 871 S Tustin St, Orange, CA 92866 Phone: 714-633-7227 Fax: 714-633-9062
Mr. Chad J Nicholson, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4201 W Chapman Ave, Orange, CA 92868 Phone: 714-748-6146
Mr. Michael Dean Hairston, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1178 N Tustin St, Orange, CA 92867 Phone: 714-289-7790 Fax: 714-289-7786
Cherie Brown, M.S.P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 7732 E Santiago Canyon Rd, Orange, CA 92869 Phone: 714-771-5276 Fax: 714-771-1452
Ms. Karen Rosen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2555 N Capri St, Orange, CA 92865 Phone: 714-458-8558 Fax: 714-637-0743
Dr. Rebecca Marie Farahat, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1224 E Katella Ave, Orange, CA 92867 Phone: 714-501-7028

Holly M Wagner, MPT - Medicare Physical Therapist in Orange, CA