Dr Jolynn Wagner, PHD is a medicare enrolled "Psychologist - Clinical" provider in Duvall, Washington. Her current practice location is
26502 Ne Valley St Suite 101, Duvall, Washington. You can reach out to her office (for appointments etc.) via phone at
(425) 343-3289.
Dr Jolynn Wagner is licensed to practice in Washington (license number PY00002370) 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 1093917320.
Healthcare Provider's Profile
Full Name | Dr Jolynn Wagner |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 26502 Ne Valley St Suite 101, Duvall, Washington |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1093917320
- Provider Enumeration Date: 05/31/2007
- Last Update Date: 03/21/2016
Medicare PECOS Information:
- PECOS PAC ID: 2264860568
- Enrollment ID: I20200320000613
Medical Identifiers
Medical identifiers for Dr Jolynn Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093917320 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | PY00002370 (Washington) | Primary |
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 Jolynn Wagner allows following entities to bill medicare on her behalf.
Entity Name | Psychological Services P.a. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1932754595 PECOS PAC ID: 1557690351 Enrollment ID: O20190904000077 |
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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 Jolynn 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 Jolynn Wagner, PHD 26502 Ne Valley St Suite 101, Duvall, WA 98019 Ph: (425) 343-3289 | Dr Jolynn Wagner, PHD 26502 Ne Valley St Suite 101, Duvall, WA 98019 Ph: (425) 343-3289 |
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