Scott T Wagoner, PHD in Indianapolis, IN - Medicare Psychologist Provider

Scott T Wagoner, PHD is a medicare enrolled "Psychologist - Clinical Child & Adolescent" provider in Indianapolis, Indiana. His current practice location is 705 Riley Hospital Dr, Indianapolis, Indiana. You can reach out to his office (for appointments etc.) via phone at (317) 944-3774.

Scott T Wagoner is licensed to practice in Indiana (license number 20043486B) 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 1134738057.

Contact Information

	Scott T Wagoner, PHD
	705 Riley Hospital Dr, Indianapolis, IN 46202-5109
	(317) 944-3774
	(317) 944-8521

Map and Direction

Healthcare Provider's Profile

Full Name	Scott T Wagoner
Gender	Male
Speciality	Psychologist - Clinical Child & Adolescent
Location	705 Riley Hospital Dr, Indianapolis, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134738057
Provider Enumeration Date: 07/27/2020
Last Update Date: 06/21/2022

Medicare PECOS Information:

PECOS PAC ID: 1254710148
Enrollment ID: I20220623001785

Medical Identifiers

Medical identifiers for Scott T Wagoner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134738057	NPI	-	NPPES
300054621	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TF0000X	Psychologist - Family	20043486A (Indiana)	Secondary
103TC2200X	Psychologist - Clinical Child & Adolescent	20043486B (Indiana)	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. Scott T Wagoner allows following entities to bill medicare on his behalf.

Entity Name	Indiana University Health Care Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902032832 PECOS PAC ID: 5799755864 Enrollment ID: O20040727000955

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. Scott T Wagoner 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
Scott T Wagoner, PHD 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () -	Scott T Wagoner, PHD 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 Ph: (317) 944-3774

Reviews and Comments

Psychologist in Indianapolis, IN

Dr. Jennifer Holzman, PSYD, HSPP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 70 E 91st St Ste 210, Indianapolis, IN 46240 Phone: 317-573-0149
Dr. Sarah A Landsberger, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 355 W 16th St, Indianapolis, IN 46202 Phone: 317-963-7300 Fax: 317-963-7325
Dr. William D. Alexy, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6110 N. Meridian, W.dr, Indianapolis, IN 46208 Phone: 317-255-3729 Fax: 317-255-3729
Dr. Yelena Chernyak, PH.D., HSPP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 550 University Blvd, Room Uh 3240, Indianapolis, IN 46202 Phone: 317-944-7422 Fax: 317-944-1497
Tami S Krichiver, PSYD, HSPP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2011 N Meridian St, Indianapolis, IN 46202 Phone: 317-924-7010 Fax: 317-941-2208
Brigid R Marriott, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 1002 Wishard Blvd Ste 4110, Indianapolis, IN 46202 Phone: 317-944-8162 Fax: 317-948-0609
Dr. Lisa B Brown, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6284 Rucker Rd, Suite N, Indianapolis, IN 46220 Phone: 317-475-1389 Fax: 317-475-9089

Scott T Wagoner, PHD - Medicare Psychologist in Indianapolis, IN