Dr Samantha Ann Wagner, PHD in Land O Lakes, FL - Medicare Psychologist Provider

Dr Samantha Ann Wagner, PHD is a medicare enrolled "Psychologist - Clinical" provider in Land O Lakes, Florida. Her current practice location is 20747 Sterlington Dr, Land O Lakes, Florida. You can reach out to her office (for appointments etc.) via phone at (813) 815-2947.

Dr Samantha Ann Wagner is licensed to practice in Florida (license number PY11685) 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 1457078735.

Contact Information

	Dr Samantha Ann Wagner, PHD
	20747 Sterlington Dr, Land O Lakes, FL 34638-4317
	(813) 815-2947
	(813) 948-0094

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Samantha Ann Wagner
Gender	Female
Speciality	Psychologist - Clinical
Location	20747 Sterlington Dr, Land O Lakes, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457078735
Provider Enumeration Date: 10/26/2022
Last Update Date: 10/26/2022

Medicare PECOS Information:

PECOS PAC ID: 4284007691
Enrollment ID: I20230306002937

Medical Identifiers

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

Identifier	Type	State	Issuer
1457078735	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PY11685 (Florida)	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 Samantha Ann Wagner allows following entities to bill medicare on her behalf.

Entity Name	Samantha A. Wagner, Phd, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548045131 PECOS PAC ID: 7012363559 Enrollment ID: O20231019002509

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 Samantha Ann 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 Samantha Ann Wagner, PHD 20747 Sterlington Dr, Land O Lakes, FL 34638-4317 Ph: (813) 815-2947	Dr Samantha Ann Wagner, PHD 20747 Sterlington Dr, Land O Lakes, FL 34638-4317 Ph: (813) 815-2947

Reviews and Comments

Psychologist in Land O Lakes, FL

Dr. Brianna M Brandon, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 2380 Tapestry Park Dr Apt 303, Land O Lakes, FL 34639 Phone: 321-626-5720
Dr. Brian Christopher Doane, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 20747 Sterlington Dr, Land O Lakes, FL 34638 Phone: 616-735-0397 Fax: 813-907-9494
Dr. Michael Marks, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 20747 Sterlington Dr, Land O Lakes, FL 34638 Phone: 813-344-5235
Sharie M Fabregas, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 20747 Sterlington Dr, Land O Lakes, FL 34638 Phone: 352-281-6579 Fax: 813-948-0094
Dr. Leisha Tompkins, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2647 Narnia Way Unit 102, Land O Lakes, FL 34638 Phone: 813-897-1924
Dr. Susan Louise Rarick, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 20747 Sterlington Drive, Land O Lakes, FL 34638 Phone: 813-943-4000 Fax: 813-948-0094

Dr Samantha Ann Wagner, PHD - Medicare Psychologist in Land O Lakes, FL