Miss Laura Ashlee Wagner, MS CCC-SLP BCBA is a medicare enrolled "Behavior Analyst" provider in Franklin Park, New Jersey. Her current practice location is
54 Crabapple Ln, Franklin Park, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(570) 343-1950.
Miss Laura Ashlee Wagner is licensed to practice in * (Not Available) (license number 1-23-65537) 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 1972919934.
Healthcare Provider's Profile
| Full Name | Miss Laura Ashlee Wagner |
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| Gender | Female |
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| Speciality | Behavior Analyst |
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| Location | 54 Crabapple Ln, Franklin Park, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1972919934
- Provider Enumeration Date: 07/10/2014
- Last Update Date: 12/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 9537527411
- Enrollment ID: I20230626000835
Medical Identifiers
Medical identifiers for Miss Laura Ashlee Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1972919934 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 235Z00000X | Speech-language Pathologist | SL011331 (Pennsylvania) | Secondary |
| 103K00000X | Behavior Analyst | 1-23-65537 (* (Not Available)) | 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. Miss Laura Ashlee Wagner allows following entities to bill medicare on her behalf.
| Provider Name | Speech Language Associates Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1760916969
PECOS PAC ID: 3173913068
Enrollment ID: O20211208002375 |
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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. Miss Laura Ashlee 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 |
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Miss Laura Ashlee Wagner, MS CCC-SLP BCBA
54 Crabapple Ln,
Franklin Park, NJ 08823-1416
Ph: () - | Miss Laura Ashlee Wagner, MS CCC-SLP BCBA
54 Crabapple Ln,
Franklin Park, NJ 08823-1416
Ph: (570) 343-1950 |
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