Mark T Wagner, PHD - Medicare Psychologist in Charleston, SC

Mark T Wagner, PHD is a medicare enrolled "Psychologist" provider in Charleston, South Carolina. He graduated from medical school in 1985 and has 39 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice University Medical Associates and his current practice location is 171 Ashley Ave, Charleston, South Carolina. You can reach out to his office (for appointments etc.) via phone at (843) 792-1414.

Mark T Wagner is licensed to practice in South Carolina (license number 536) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1346277142.

Contact Information

Mark T Wagner, PHD
171 Ashley Ave,
Charleston, SC 29425-0001
(843) 792-1414
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMark T Wagner
GenderMale
SpecialityClinical Psychologist
Experience39 Years
Location171 Ashley Ave, Charleston, South Carolina
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mark T Wagner graduated from medical school in 1985
  NPI Data:
  • NPI Number: 1346277142
  • Provider Enumeration Date: 06/27/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 9335247154
  • Enrollment ID: I20070601000379

Medical Identifiers

Medical identifiers for Mark T Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346277142NPI-NPPES
PS0135MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 536 (South Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Musc Medical CenterCharleston, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Medical Associates63057585741311

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. Mark T Wagner allows following entities to bill medicare on his behalf.
Entity NameUniversity Medical Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043241110
PECOS PAC ID: 6305758574
Enrollment ID: O20031105000291

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. Mark T 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 AddressPractice Location Address
Mark T Wagner, PHD
Po Box 751461,
Charlotte, NC 28275-1461

Ph: (843) 792-6200
Mark T Wagner, PHD
171 Ashley Ave,
Charleston, SC 29425-0001

Ph: (843) 792-1414

Reviews and Comments


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Practice Location: 171 Ashley Ave, Charleston, SC 29425
Phone: 843-792-1414    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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