Miss Myesha J Wagner, FNP-C - Medicare Nurse Practitioner in Fayetteville, GA

Miss Myesha J Wagner, FNP-C is a medicare enrolled "Nurse Practitioner" in Fayetteville, Georgia. Her current practice location is 132 Old Norton Rd Ste 200, Fayetteville, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 817-1117.

Miss Myesha J Wagner is licensed to practice in Georgia (license number RN258179) 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 1952032112.

Contact Information

Miss Myesha J Wagner, FNP-C
132 Old Norton Rd Ste 200,
Fayetteville, GA 30215-4873
(678) 817-1117
(678) 817-0823

Map and Direction




Provider's Profile

Full NameMiss Myesha J Wagner
GenderFemale
SpecialityNurse Practitioner
Location132 Old Norton Rd Ste 200, Fayetteville, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1952032112
  • Provider Enumeration Date: 06/20/2022
  • Last Update Date: 06/28/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8729464755
  • Enrollment ID: I20220928003470

Medical Identifiers

Medical identifiers for Miss Myesha J Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952032112NPI-NPPES
G34406AOtherGAMEDICARE PTAN
003274648AMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN258179 (Georgia)Secondary
363L00000XNurse Practitioner RN258179 (Georgia)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 Myesha J Wagner allows following entities to bill medicare on her behalf.
Entity NameThe Emory Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396798229
PECOS PAC ID: 8820901408
Enrollment ID: O20031110000503
Entity NameNsh Cancer Institute Professional Services G Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144571381
PECOS PAC ID: 0840443164
Enrollment ID: O20130128000225

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 Myesha J 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 AddressPractice Location Address
Miss Myesha J Wagner, FNP-C
1835 Savoy Dr Ste 300,
Atlanta, GA 30341-1071

Ph: (678) 288-9555
Miss Myesha J Wagner, FNP-C
132 Old Norton Rd Ste 200,
Fayetteville, GA 30215-4873

Ph: (678) 817-1117

Reviews and Comments


Nurse Practitioner Nurses in Fayetteville, GA

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Phone: 770-703-4448    Fax: 770-703-4038

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.