Kerry Grimes Wagner, MPT in San Clemente, CA - Medicare Physical Therapy Provider

Kerry Grimes Wagner, MPT is a medicare enrolled "Physical Therapist" provider in San Clemente, California. She graduated from medical school in 1998 and has 26 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice One Choice Physical Therapy, Inc. and her current practice location is 1120 Via Callejon Ste B, San Clemente, California. You can reach out to her office (for appointments etc.) via phone at (949) 481-1095.

Kerry Grimes Wagner is licensed to practice in California (license number PT 24160) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1194049056.

Contact Information

	Kerry Grimes Wagner, MPT
	1120 Via Callejon Ste B, San Clemente, CA 92673-6264
	(949) 481-1095
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kerry Grimes Wagner
Gender	Female
Speciality	Physical Therapy
Experience	26 Years
Location	1120 Via Callejon Ste B, San Clemente, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kerry Grimes Wagner graduated from medical school in 1998

NPI Data:

NPI Number: 1194049056
Provider Enumeration Date: 03/22/2010
Last Update Date: 12/22/2011

Medicare PECOS Information:

PECOS PAC ID: 2567638612
Enrollment ID: I20111220000773

Medical Identifiers

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

Identifier	Type	State	Issuer
1194049056	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT 24160 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
One Choice Physical Therapy, Inc.	2567720402	4

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. Kerry Grimes Wagner allows following entities to bill medicare on her behalf.

Provider Name	One Choice Physical Therapy, Inc.
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1912416744 PECOS PAC ID: 2567720402 Enrollment ID: O20171221002642

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. Kerry Grimes 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
Kerry Grimes Wagner, MPT 1120 Via Callejon Ste B, San Clemente, CA 92673-6264 Ph: (949) 481-1095	Kerry Grimes Wagner, MPT 1120 Via Callejon Ste B, San Clemente, CA 92673-6264 Ph: (949) 481-1095

Reviews and Comments

Physical Therapist in San Clemente, CA

Jacqueline Michelle Alm, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 653 Camino De Los Mares, Suite 110, San Clemente, CA 92673 Phone: 949-496-0122
Holly K Finley, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 647 Camino De Los Mares Ste 111, San Clemente, CA 92673 Phone: 949-240-0600 Fax: 949-240-7578
Miss Allison Helen Tuten, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1000 Calle Amanecer, San Clemente, CA 92673 Phone: 949-498-5100
Alisha Marie Rodriguez, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 201 Calle De Los Molinos, San Clemente, CA 92672 Phone: 949-388-5692
Roberta Rae Pennington, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1120 Via Callejon, Suite B, San Clemente, CA 92673 Phone: 949-498-5100
Mary M. Reischl, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1151 Puerta Del Sol, Suite B, San Clemente, CA 92673 Phone: 949-481-0015 Fax: 949-481-5611
Christina Virginia Howard, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 653 Camino De Los Mares, #110, San Clemente, CA 92673 Phone: 858-752-9422

Kerry Grimes Wagner, MPT - Medicare Physical Therapist in San Clemente, CA