Dr Michael Dale Wagner, PHD in Westerville, OH - Medicare Psychologist Provider

Dr Michael Dale Wagner, PHD is a medicare enrolled "Psychologist - Clinical" provider in Westerville, Ohio. His current practice location is 5415 Medallion Dr W, Westerville, Ohio. You can reach out to his office (for appointments etc.) via phone at (614) 218-8769.

Dr Michael Dale Wagner is licensed to practice in Ohio (license number 4636) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1760577340.

Contact Information

	Dr Michael Dale Wagner, PHD
	5415 Medallion Dr W, Westerville, OH 43082-9194
	(614) 218-8769
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Michael Dale Wagner
Gender	Male
Speciality	Psychologist - Clinical
Location	5415 Medallion Dr W, Westerville, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760577340
Provider Enumeration Date: 10/03/2006
Last Update Date: 06/20/2020

Medicare PECOS Information:

PECOS PAC ID: 0941304695
Enrollment ID: I20070406000040

Medical Identifiers

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

Identifier	Type	State	Issuer
1760577340	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC2200X	Psychologist - Clinical Child & Adolescent	4636 (Ohio)	Secondary
103TC0700X	Psychologist - Clinical	4636 (Ohio)	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 Michael Dale Wagner allows following entities to bill medicare on his behalf.

Entity Name	Mt. Airy Development, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801405519 PECOS PAC ID: 4486071545 Enrollment ID: O20210624002732

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 Michael Dale 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 Michael Dale Wagner, PHD 5415 Medallion Dr W, Westerville, OH 43082-9194 Ph: (614) 218-8769	Dr Michael Dale Wagner, PHD 5415 Medallion Dr W, Westerville, OH 43082-9194 Ph: (614) 218-8769

Reviews and Comments

Psychologist in Westerville, OH

Jessica Scherr, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 187 W Schrock Rd, Westerville, OH 43081 Phone: 614-355-7500
Alison Armstrong-betts, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 879 Longbow Ct, Apt H, Westerville, OH 43082 Phone: 614-562-9149
Dr. David Michalec, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 187 W Schrock Rd, Westerville, OH 43081 Phone: 614-355-7500 Fax: 614-355-7533
Megan Ann Norris, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 187 W Schrock Rd, Westerville, OH 43081 Phone: 614-355-7500 Fax: 614-355-7533
Dr. Natasha Stoll-juredine, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6375 Goldfinch Dr, Westerville, OH 43081 Phone: 614-730-7336
Caroline E Murphy, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 187 W Schrock Rd, Westerville, OH 43081 Phone: 614-355-7500 Fax: 614-355-7533
Allison Fagan, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 107 E College Ave, Suite 101, Westerville, OH 43081 Phone: 614-398-9624

Dr Michael Dale Wagner, PHD - Medicare Psychologist in Westerville, OH