Mrs Holland Victoria Wagner, LCSW in Jonesboro, AR - Medicare Social Worker Provider

Mrs Holland Victoria Wagner, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Jonesboro, Arkansas. Her current practice location is 3700 Access Road, Jonesboro, Arkansas. You can reach out to her office (for appointments etc.) via phone at () -.

Mrs Holland Victoria Wagner is licensed to practice in * (Not Available) (license number ) 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 1669019634.

Contact Information

	Mrs Holland Victoria Wagner, LCSW
	3700 Access Road, Jonesboro, AR 72401
	() -
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Holland Victoria Wagner
Gender	Female
Speciality	Social Worker - Clinical
Location	3700 Access Road, Jonesboro, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669019634
Provider Enumeration Date: 12/09/2019
Last Update Date: 09/11/2024

Medicare PECOS Information:

PECOS PAC ID: 0143761742
Enrollment ID: I20240923003865

Medical Identifiers

Medical identifiers for Mrs Holland Victoria Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669019634	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	(* (Not Available))	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. Mrs Holland Victoria Wagner allows following entities to bill medicare on her behalf.

Entity Name	Arisa Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437750411 PECOS PAC ID: 2264853829 Enrollment ID: O20230508000555

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. Mrs Holland Victoria 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
Mrs Holland Victoria Wagner, LCSW 2707 Browns Lane, Jonesboro, AR 72401 Ph: (870) 972-4939	Mrs Holland Victoria Wagner, LCSW 3700 Access Road, Jonesboro, AR 72401 Ph: () -

Reviews and Comments

Social Worker in Jonesboro, AR

Angela Christine Smith, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 615 E Matthews Ave, Jonesboro, AR 72401 Phone: 870-930-9090
Miss Anna Gatlin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4508 Stadium Blvd, Jonesboro, AR 72404 Phone: 870-933-6886 Fax: 870-933-9395
Kelli Leann Statler, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2707 Browns Ln, Jonesboro, AR 72401 Phone: 870-972-4939 Fax: 870-972-4911
Destiny Mcgee, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2707 Browns Ln, Jonesboro, AR 72401 Phone: 870-972-4000 Fax: 870-972-4968
Malory Paige Slater, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4802 E Johnson Ave, Jonesboro, AR 72405 Phone: 870-936-8000 Fax: 870-934-3649
Ruth Ann Carpenter, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2707 Browns Ln, Jonesboro, AR 72401 Phone: 870-972-4939 Fax: 870-972-4911
Deborah Grace Eberwein, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 411 Calvary Cv, Jonesboro, AR 72401 Phone: 870-761-8247

Mrs Holland Victoria Wagner, LCSW - Medicare Clinical Social Worker in Jonesboro, AR