Mrs Lisa C Wagner, MS, CCC-SLP in Harris, NY - Medicare Speech-Language Pathologist Provider

Mrs Lisa C Wagner, MS, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Harris, New York. Her current practice location is 59 Kinnebrook Rd, Harris, New York. You can reach out to her office (for appointments etc.) via phone at (845) 794-1400.

Mrs Lisa C Wagner is licensed to practice in New York (license number 0187811) 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 1780824375.

Contact Information

	Mrs Lisa C Wagner, MS, CCC-SLP
	59 Kinnebrook Rd, Harris, NY 12742
	(845) 794-1400
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Lisa C Wagner
Gender	Female
Speciality	Speech-language Pathologist
Location	59 Kinnebrook Rd, Harris, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780824375
Provider Enumeration Date: 02/23/2009
Last Update Date: 01/09/2012

Medicare PECOS Information:

PECOS PAC ID: 8921350620
Enrollment ID: I20181008002143

Medical Identifiers

Medical identifiers for Mrs Lisa C Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780824375	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	0187811 (New York)	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. Mrs Lisa C Wagner allows following entities to bill medicare on her behalf.

Provider Name	The Center For Discovery Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1275624694 PECOS PAC ID: 1557250933 Enrollment ID: O20040312001247

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. Mrs Lisa C 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
Mrs Lisa C Wagner, MS, CCC-SLP Po Box 840, Harris, NY 12742 Ph: () -	Mrs Lisa C Wagner, MS, CCC-SLP 59 Kinnebrook Rd, Harris, NY 12742 Ph: (845) 794-1400

Reviews and Comments

Speech-Language Pathologist in Harris, NY

Miss Samantha Chew, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 68 Harris-bushville Road, Harris, NY 12742 Phone: 845-794-3300
Mr. Kevin Estrada Jr., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 31 Kinnebrook Road, Harris, NY 12561 Phone: 845-837-2216
Christina Magill Brigham, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 31 Kinnebrook Road, Harris, NY 12742 Phone: 845-794-1400
Marissa Christine Burns, MS, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 641 Old Route 17, Harris, NY 12742 Phone: 845-794-1400 Fax: 845-707-8857
Adriana Lia Vacante, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 641 Old Rt 17, Harris, NY 12742 Phone: 845-794-1400
Keri E Amend, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1 Bogey Ln, Harris, NY 12742 Phone: 845-794-1400 Fax: 845-707-8857
Ms. Vanessa Carraccia, M.S. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 641 Old Route 17, The Center For Discovery, Harris, NY 12742 Phone: 845-794-1400 Fax: 845-707-8857

Mrs Lisa C Wagner, MS, CCC-SLP - Medicare Speech-Language Pathologist in Harris, NY