Mrs Jennifer Lee Wagoner, PT in Macomb, IL - Medicare Physical Therapy Provider

Mrs Jennifer Lee Wagoner, PT is a medicare enrolled "Physical Therapist" provider in Macomb, Illinois. She graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Springfield Clinic Llp and her current practice location is 505 E Grant St, Macomb, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 833-1733.

Mrs Jennifer Lee Wagoner is licensed to practice in Illinois (license number 070015942) 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 1861785206.

Contact Information

	Mrs Jennifer Lee Wagoner, PT
	505 E Grant St, Macomb, IL 61455-3352
	(309) 833-1733
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Jennifer Lee Wagoner
Gender	Female
Speciality	Physical Therapy
Experience	17 Years
Location	505 E Grant St, Macomb, Illinois
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:

Mrs Jennifer Lee Wagoner graduated from medical school in 2007

NPI Data:

NPI Number: 1861785206
Provider Enumeration Date: 05/18/2011
Last Update Date: 02/10/2022

Medicare PECOS Information:

PECOS PAC ID: 2860887858
Enrollment ID: I20220309001004

Medical Identifiers

Medical identifiers for Mrs Jennifer Lee Wagoner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861785206	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	070015942 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Springfield Clinic Llp	0547166076	673

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. Mrs Jennifer Lee Wagoner allows following entities to bill medicare on her behalf.

Provider Name	Springfield Clinic Llp
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1780638478 PECOS PAC ID: 0547166076 Enrollment ID: O20040331000826

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. Mrs Jennifer Lee Wagoner 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
Mrs Jennifer Lee Wagoner, PT 1025 S 6th St, Springfield, IL 62703-2403 Ph: (217) 528-7541	Mrs Jennifer Lee Wagoner, PT 505 E Grant St, Macomb, IL 61455-3352 Ph: (309) 833-1733

Reviews and Comments

Physical Therapist in Macomb, IL

Holly Nicole Clauson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 130 S Lafayette St Ste 201, Macomb, IL 61455 Phone: 309-837-3911
Victor Erude Lidaywa, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1701 W Jackson St, Ste C, Macomb, IL 61455 Phone: 309-331-3590
Dana Peacock, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 525 E Grant St, Macomb, IL 61455 Phone: 309-836-1601
Advanced Rehab And Sports Medicine Physical Therapist Medicare: Medicare Enrolled Practice Location: 130 S Lafayette St, Suite A, Macomb, IL 61455 Phone: 309-836-2500 Fax: 309-836-2501
Jordan Fink, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 130 S Lafayette St, Macomb, IL 61455 Phone: 309-836-2500 Fax: 309-836-2501
Alana Hendrixson, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 505 E Grant St Ste 110, Macomb, IL 61455 Phone: 217-528-7541

Mrs Jennifer Lee Wagoner, PT - Medicare Physical Therapist in Macomb, IL