Dr Ivy Christine Wagner, DBH, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Bandon, Oregon. Her current practice location is
780 2nd St Se Ste 10, Bandon, Oregon. You can reach out to her office (for appointments etc.) via phone at
(541) 329-2144.
Dr Ivy Christine Wagner is licensed to practice in Oregon (license number L11519) 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 1346754702.
Healthcare Provider's Profile
Full Name | Dr Ivy Christine Wagner |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 780 2nd St Se Ste 10, Bandon, Oregon |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1346754702
- Provider Enumeration Date: 11/21/2017
- Last Update Date: 08/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 0446606065
- Enrollment ID: I20231101003824
Medical Identifiers
Medical identifiers for Dr Ivy Christine Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1346754702 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | L11519 (Oregon) | 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. Dr Ivy Christine Wagner allows following entities to bill medicare on her behalf.
Entity Name | Bandon Community Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1033348289 PECOS PAC ID: 1557416757 Enrollment ID: O20100430000431 |
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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. Dr Ivy Christine 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 |
Dr Ivy Christine Wagner, DBH, LCSW 790 Bluff Ave Sw, Bandon, OR 97411-9614 Ph: (503) 984-9243 | Dr Ivy Christine Wagner, DBH, LCSW 780 2nd St Se Ste 10, Bandon, OR 97411-8354 Ph: (541) 329-2144 |
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