Angela Wagner, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Eugene, Oregon. Her current practice location is
576 Olive St Ste 307, Eugene, Oregon. You can reach out to her office (for appointments etc.) via phone at
(541) 912-5913.
Angela Wagner is licensed to practice in Oregon (license number L11945) 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 1538678446.
Healthcare Provider's Profile
| Full Name | Angela Wagner |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 576 Olive St Ste 307, Eugene, Oregon |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1538678446
- Provider Enumeration Date: 09/22/2017
- Last Update Date: 11/27/2024
Medicare PECOS Information:
- PECOS PAC ID: 5092243709
- Enrollment ID: I20250108004167
Medical Identifiers
Medical identifiers for Angela Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538678446 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (Oregon) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | L11945 (Oregon) | Primary |
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
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. Angela 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 |
|---|
Angela Wagner, LCSW
Po Box 854,
Eugene, OR 97440-0854
Ph: (458) 317-7777 | Angela Wagner, LCSW
576 Olive St Ste 307,
Eugene, OR 97401-2995
Ph: (541) 912-5913 |
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