Sean M Wagner, LCP is a
Psychologist - Clinical based in Kingman, Kansas. Sean M Wagner is licensed to practice in Kansas (license number 0196) and his current practice location is
760 W D Ave, Kingman, Kansas. He can be reached at his office (for appointments etc.) via phone at
(620) 532-3895.
NPI number for Sean M Wagner is 1497852370 and his current mailing address is 419 E C Ave, Kingman, Kansas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1497852370.
Healthcare Provider's Profile
Full Name | Sean M Wagner |
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Gender | Male |
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Speciality | Psychologist - Clinical |
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Location | 760 W D Ave, Kingman, Kansas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1497852370
- Provider Enumeration Date: 09/20/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Sean M Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497852370 | NPI | - | NPPES |
393288 | Other | KS | BCBS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 0196 (Kansas) | Primary |
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. Sean M Wagner is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Sean M Wagner, LCP 419 E C Ave, Kingman, KS 67068-1622 Ph: (620) 532-2513 | Sean M Wagner, LCP 760 W D Ave, Kingman, KS 67068-1266 Ph: (620) 532-3895 |
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