Jerry Main Wagner, is a
Social Worker - Clinical based in Union Mills, North Carolina. Jerry Main Wagner is licensed to practice in North Carolina (license number C018630) and his current practice location is
1494 Camp Creek Rd, Union Mills, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(828) 423-6886.
NPI number for Jerry Main Wagner is 1346995008 and his current mailing address is 1494 Camp Creek Rd, Union Mills, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1346995008.
Healthcare Provider's Profile
Full Name | Jerry Main Wagner |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 1494 Camp Creek Rd, Union Mills, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1346995008
- Provider Enumeration Date: 02/21/2022
- Last Update Date: 06/25/2025
Medical Identifiers
Medical identifiers for Jerry Main Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1346995008 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | C018630 (North Carolina) | Primary |
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. Jerry Main Wagner is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jerry Main Wagner, 1494 Camp Creek Rd, Union Mills, NC 28167-7900 Ph: (828) 423-6024 | Jerry Main Wagner, 1494 Camp Creek Rd, Union Mills, NC 28167-7900 Ph: (828) 423-6886 |
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