Dr Andrea Wagner, in Newport Beach, CA - Medicare Psychologist Provider

Dr Andrea Wagner, is a medicare enrolled "Psychologist - Forensic" provider in Newport Beach, California. Her current practice location is 456 Old Newport Blvd, Newport Beach, California. You can reach out to her office (for appointments etc.) via phone at (949) 447-8257.

Dr Andrea Wagner is licensed to practice in * (Not Available) (license number ) 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 1366995078.

Contact Information

	Dr Andrea Wagner,
	456 Old Newport Blvd, Newport Beach, CA 92663-4211
	(949) 447-8257
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Andrea Wagner
Gender	Female
Speciality	Psychologist - Forensic
Location	456 Old Newport Blvd, Newport Beach, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366995078
Provider Enumeration Date: 07/28/2016
Last Update Date: 05/23/2024

Medicare PECOS Information:

PECOS PAC ID: 1951779693
Enrollment ID: I20221130001181

Medical Identifiers

Medical identifiers for Dr Andrea Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366995078	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TM1800X	Psychologist - Intellectual & Developmental Disabilities	(California)	Secondary
103TF0200X	Psychologist - Forensic	(* (Not Available))	Primary
103TC0700X	Psychologist - Clinical	32730 (California)	Secondary
103TA0400X	Psychologist - Addiction (substance Use Disorder)	(California)	Secondary

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. Dr Andrea Wagner allows following entities to bill medicare on her behalf.

Entity Name	Department Of State Hospitals
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124078704 PECOS PAC ID: 9638174238 Enrollment ID: O20081031000305

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. Dr Andrea 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
Dr Andrea Wagner, 456 Old Newport Blvd, Newport Beach, CA 92663-4211 Ph: (949) 447-8257	Dr Andrea Wagner, 456 Old Newport Blvd, Newport Beach, CA 92663-4211 Ph: (949) 447-8257

Reviews and Comments

Psychologist in Newport Beach, CA

Margaret Mary Decker, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1600 Dove St, Suite 140, Newport Beach, CA 92660 Phone: 949-922-1529 Fax: 949-809-5779
Dr. Paul T Depompo, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4060 Campus Dr, Suite 120, Newport Beach, CA 92660 Phone: 949-300-1952 Fax: 949-313-1723
Dr. Jacqueline A Josephson, PSY.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1400 Quail St Ste 136, Newport Beach, CA 92660 Phone: 510-686-3306
Ghada Al-seilawi, EDUCATIONAL PSYCHOLO Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1001 Dove St Ste 270, Newport Beach, CA 92660 Phone: 949-432-4815
Dr. Vance B Becker, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1451 Quail St, Ste 102, Newport Beach, CA 92660 Phone: 949-757-1113 Fax: 949-757-1114
Ms. Dana Emerson Basu, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 2549 Eastbluff Dr # 134, Newport Beach, CA 92660 Phone: 608-575-2111 Fax: 949-220-7004
Dr. Carey Sherilyn Incledon, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1101 Dove St Ste 190, Newport Beach, CA 92660 Phone: 949-630-0630 Fax: 949-688-5577

Dr Andrea Wagner, - Medicare Psychologist in Newport Beach, CA