Jacklyn Marie Wagner, PT, DPT, ATC in Fort Hood, TX - Medicare Physical Therapist Provider

Jacklyn Marie Wagner, PT, DPT, ATC is a medicare enrolled "Physical Therapist" provider in Fort Hood, Texas. Her current practice location is 36000 Darnall Loop, Carl R. Darnall Army Medical Center, Fort Hood, Texas. You can reach out to her office (for appointments etc.) via phone at (254) 286-7326.

Jacklyn Marie Wagner is licensed to practice in Maine (license number PT5423) 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 1659745073.

Contact Information

	Jacklyn Marie Wagner, PT, DPT, ATC
	36000 Darnall Loop, Carl R. Darnall Army Medical Center, Fort Hood, TX 76544-5095
	(254) 286-7326
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jacklyn Marie Wagner
Gender	Female
Speciality	Physical Therapist
Location	36000 Darnall Loop, Fort Hood, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659745073
Provider Enumeration Date: 11/23/2015
Last Update Date: 10/29/2019

Medicare PECOS Information:

PECOS PAC ID: 6305278110
Enrollment ID: I20191118000081

Medical Identifiers

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

Identifier	Type	State	Issuer
1659745073	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT5423 (Maine)	Primary

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. Jacklyn Marie 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
Jacklyn Marie Wagner, PT, DPT, ATC 7100 Andalucia St, Killeen, TX 76542-5950 Ph: (585) 880-3209	Jacklyn Marie Wagner, PT, DPT, ATC 36000 Darnall Loop, Carl R. Darnall Army Medical Center, Fort Hood, TX 76544-5095 Ph: (254) 286-7326

Reviews and Comments

Physical Therapist in Fort Hood, TX

Joseph Anthony Lopez, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 36000 Darnall Loop, Carl R. Darnall Army Medical Center, Fort Hood, TX 76544 Phone: 254-288-8040
Giselle A Miller, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 36000 Darnell Loop Orthopaedic Clinic, Physical Therapy Clinic, Fort Hood, TX 76544 Phone: 254-288-8040
Stephen Winterroth, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 36000 Darnall Loop, Fort Hood, TX 76544 Phone: 254-288-8040
Doran Louise Lindsey, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Carl R. Darnall Army Medical Center, 36065 Santa Fe Ave, Fort Hood, TX 76544 Phone: 254-288-2052
Dr. Lorrie Marie Santoy, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 36065 Santa Fe Ave, Fort Hood, TX 76544 Phone: 512-789-5758
Ryan Reid Jensen, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Carl R. Darnall Army Medical Center, 36065 Santa Fe Ave, Fort Hood, TX 76544 Phone: 254-553-6546
Mr. Justin Michael Harding, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Carl R Darnall Army Medical Center, 36065 Santa Fe Ave, Fort Hood, TX 76544 Phone: 254-288-8000

Jacklyn Marie Wagner, PT, DPT, ATC - Medicare Physical Therapist in Fort Hood, TX