Mr Richard D Wagner Jr, PT CSCS VCS in Grafton, WI - Medicare Physical Therapy Provider

Mr Richard D Wagner Jr, PT CSCS VCS is a medicare enrolled "Physical Therapist" provider in Grafton, Wisconsin. He graduated from medical school in 1997 and has 27 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Body Renovation Physical Therapy Sc and his current practice location is 2020 Cheyenne Ct, Grafton, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 375-1075.

Mr Richard D Wagner Jr is licensed to practice in Wisconsin (license number 5865024) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1225103476.

Contact Information

	Mr Richard D Wagner Jr, PT CSCS VCS
	2020 Cheyenne Ct, Grafton, WI 53024-0368
	(262) 375-1075
	(262) 375-4975

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Richard D Wagner Jr
Gender	Male
Speciality	Physical Therapy
Experience	27 Years
Location	2020 Cheyenne Ct, Grafton, Wisconsin
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Richard D Wagner Jr graduated from medical school in 1997

NPI Data:

NPI Number: 1225103476
Provider Enumeration Date: 11/22/2006
Last Update Date: 01/30/2008

Medicare PECOS Information:

PECOS PAC ID: 7517868839
Enrollment ID: I20040119000454

Medical Identifiers

Medical identifiers for Mr Richard D Wagner Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225103476	NPI	-	NPPES
40408000	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	5865024 (Wisconsin)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Body Renovation Physical Therapy Sc	3779688403	9

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. Mr Richard D Wagner Jr allows following entities to bill medicare on his behalf.

Provider Name	Body Renovation Physical Therapy Sc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1871664243 PECOS PAC ID: 3779688403 Enrollment ID: O20070425000088

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. Mr Richard D Wagner Jr 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
Mr Richard D Wagner Jr, PT CSCS VCS 1710 Malibu Dr, Cedarburg, WI 53012-9713 Ph: (262) 618-4787	Mr Richard D Wagner Jr, PT CSCS VCS 2020 Cheyenne Ct, Grafton, WI 53024-0368 Ph: (262) 375-1075

Reviews and Comments

Physical Therapist in Grafton, WI

Anne R. Harley, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 215 Washington St, Grafton, WI 53024 Phone: 262-375-3700 Fax: 262-376-6020
Christopher David Potter, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-2700
Athletico Ltd Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2225 Wisconsin Ave Ste 100, Grafton, WI 53024 Phone: 262-474-0063 Fax: 262-222-6281
Mrs. Lauren Monticelli, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-2700
Ms. Abbey Lynn Valentine, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-4888
Rachel Ann Schraufnagel, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1235 Dakota Dr Ste L, Grafton, WI 53024 Phone: 262-376-2085
Jacob Mcchrystal, DPT, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 215 Washington St, Grafton, WI 53024 Phone: 262-375-3700

Mr Richard D Wagner Jr, PT CSCS VCS - Medicare Physical Therapist in Grafton, WI