Mrs Carole Eaton Wagner, FNP in Prescott, AZ - Medicare Nurse Practitioner

Mrs Carole Eaton Wagner, FNP is a medicare enrolled "Nurse Practitioner - Family" in Prescott, Arizona. Her current practice location is 500 Hwy 89 North, Northern Azva Healthcare System, Prescott, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 445-4860.

Mrs Carole Eaton Wagner is licensed to practice in Arizona (license number RN036104) 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 1821085879.

Contact Information

	Mrs Carole Eaton Wagner, FNP
	500 Hwy 89 North, Northern Azva Healthcare System, Prescott, AZ 86313
	(928) 445-4860
	(928) 776-6147

Map and Direction

Provider's Profile

Full Name	Mrs Carole Eaton Wagner
Gender	Female
Speciality	Nurse Practitioner - Family
Location	500 Hwy 89 North, Prescott, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821085879
Provider Enumeration Date: 10/04/2005
Last Update Date: 10/26/2010

Medicare PECOS Information:

PECOS PAC ID: 8921251075
Enrollment ID: I20180424002515

Medical Identifiers

Medical identifiers for Mrs Carole Eaton Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821085879	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN036104 (Arizona)	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 Carole Eaton Wagner allows following entities to bill medicare on her behalf.

Entity Name	The Little Clinic Of Arizona Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023216249 PECOS PAC ID: 4981797982 Enrollment ID: O20070907000182

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 Carole Eaton 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 Carole Eaton Wagner, FNP Po Box 206, Humboldt, AZ 86329-0206 Ph: (928) 632-5550	Mrs Carole Eaton Wagner, FNP 500 Hwy 89 North, Northern Azva Healthcare System, Prescott, AZ 86313 Ph: (928) 445-4860

Reviews and Comments

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Mrs Carole Eaton Wagner, FNP - Medicare Nurse Practitioner in Prescott, AZ