Jerry Main Wagner, is a medicare enrolled "Social Worker - Clinical" provider in Union Mills, North Carolina. He graduated from medical school in 2022 and has 4 years of diverse experience with area of expertise as Clinical Social Worker. His current practice location is
1494 Camp Creek Rd, Union Mills, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(828) 423-6886.
Jerry Main Wagner is licensed to practice in North Carolina (license number C018630) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and 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 | Clinical Social Worker |
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| Experience | 4 Years |
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| Location | 1494 Camp Creek Rd, Union Mills, North Carolina |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jerry Main Wagner graduated from medical school in 2022
NPI Data:
- NPI Number: 1346995008
- Provider Enumeration Date: 02/21/2022
- Last Update Date: 06/25/2025
Medicare PECOS Information:
- PECOS PAC ID: 6406339027
- Enrollment ID: I20260312000353
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
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 |
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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