Betty Louise Wagner, LCSW in Traverse City, MI - Medicare Social Worker Provider

Betty Louise Wagner, LCSW is a medicare enrolled "Social Worker" provider in Traverse City, Michigan. Her current practice location is 1028 Birmley Estates Dr, Traverse City, Michigan. You can reach out to her office (for appointments etc.) via phone at (231) 492-6529.

Betty Louise Wagner is licensed to practice in Michigan (license number 6801081590) 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 1720132129.

Contact Information

	Betty Louise Wagner, LCSW
	1028 Birmley Estates Dr, Traverse City, MI 49696-8838
	(231) 492-6529
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Betty Louise Wagner
Gender	Female
Speciality	Social Worker
Location	1028 Birmley Estates Dr, Traverse City, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720132129
Provider Enumeration Date: 01/22/2007
Last Update Date: 06/12/2026

Medicare PECOS Information:

PECOS PAC ID: 6709139090
Enrollment ID: I20181114002263

Medical Identifiers

Medical identifiers for Betty Louise Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720132129	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	L7525 (Oregon)	Secondary
104100000X	Social Worker	6801081590 (Michigan)	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. Betty Louise Wagner allows following entities to bill medicare on her behalf.

Entity Name	Rogue Psych Consultants Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447727110 PECOS PAC ID: 1850632415 Enrollment ID: O20190408002460

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. Betty Louise 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
Betty Louise Wagner, LCSW 1028 Birmley Estates Dr, Traverse City, MI 49696-8838 Ph: (231) 492-6529	Betty Louise Wagner, LCSW 1028 Birmley Estates Dr, Traverse City, MI 49696-8838 Ph: (231) 492-6529

Reviews and Comments

Social Worker in Traverse City, MI

Mr. Peter Joseph Zoutendyk Jr., MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 810 S Garfield Ave Ste B, Traverse City, MI 49686 Phone: 231-947-0511
Mrs. Janet Lynn Hughes, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1844 Oak Hollow Dr, Suite B, Traverse City, MI 49686 Phone: 231-929-0300 Fax: 231-933-6378
Mr. Calvin George Sikarskie, MS, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3785 Veterans Dr, Traverse City, MI 49684 Phone: 231-929-0520
Mr. Michael Franklin Coonan, LMSW ACSW BCD Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1889 E River Rd, Traverse City, MI 49696 Phone: 850-377-1960
Mr. Robert Anthony Fernandez, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 954 Business Park Dr, Traverse City, MI 49686 Phone: 231-590-3411
Ms. Melanie Sue Lutz, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4020 Copper Vw Ste 104, Traverse City, MI 49684 Phone: 231-421-6921 Fax: 234-421-7852
Melissa Hall, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 735 S Garfield Ave, Traverse City, MI 49686 Phone: 231-267-8296 Fax: 231-368-6270

Betty Louise Wagner, LCSW - Medicare Clinical Social Worker in Traverse City, MI