Benjamin Kent Wagner, LPC-MHSP in Kingsport, TN

Benjamin Kent Wagner, LPC-MHSP is a medicare enrolled "Counselor - Mental Health" provider in Kingsport, Tennessee. His current practice location is 4012 Fort Henry Dr, Kingsport, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 430-9687.

Benjamin Kent Wagner is licensed to practice in Tennessee (license number 7325) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1255163283.

Contact Information

	Benjamin Kent Wagner, LPC-MHSP
	4012 Fort Henry Dr, Kingsport, TN 37663-2028
	(423) 430-9687
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Benjamin Kent Wagner
Gender	Male
Speciality	Counselor - Mental Health
Location	4012 Fort Henry Dr, Kingsport, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255163283
Provider Enumeration Date: 08/19/2024
Last Update Date: 08/19/2024

Medicare PECOS Information:

PECOS PAC ID: 6103357900
Enrollment ID: I20241003003396

Medical Identifiers

Medical identifiers for Benjamin Kent Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255163283	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	7325 (* (Not Available))	Secondary
101YM0800X	Counselor - Mental Health	7325 (Tennessee)	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. Benjamin Kent Wagner allows following entities to bill medicare on his behalf.

Entity Name	Tri-star Counseling, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184376741 PECOS PAC ID: 4486049384 Enrollment ID: O20220310002898

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. Benjamin Kent 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
Benjamin Kent Wagner, LPC-MHSP 1216 Seminole Dr Apt 5, Johnson City, TN 37604-7154 Ph: (423) 470-4683	Benjamin Kent Wagner, LPC-MHSP 4012 Fort Henry Dr, Kingsport, TN 37663-2028 Ph: (423) 430-9687

Reviews and Comments

Counselor in Kingsport, TN

Andrea Nicole Mccloud, MA, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 605 Watauga St, Kingsport, TN 37660 Phone: 423-408-2601
Ms. Kristy Mae Tipton, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1570 Waverly Rd, Kingsport, TN 37664 Phone: 423-224-1300 Fax: 423-224-1375
Debra Lavery Sensibaugh, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2001 Stonebrook Pl, Kingsport, TN 37660 Phone: 423-224-1000
Joshua Paul Ledford, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2001 Stonebrook Pl, Kingsport, TN 37660 Phone: 423-224-1000 Fax: 423-224-1023
Harold B Leonard, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2300 Pavilion Dr, Kingsport, TN 37660 Phone: 423-857-5571 Fax: 423-857-5237
Rebecca Leigh Waldenstrom, MED Counselor Medicare: Not Enrolled in Medicare Practice Location: 2001 Stonebrook Pl, Kingsport, TN 37660 Phone: 423-224-1000 Fax: 423-224-1023
Kelly J Medlin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2001 E Stonebrook Pl, Kingsport, TN 37660 Phone: 423-224-1000 Fax: 423-467-3644

Benjamin Kent Wagner, LPC-MHSP - Medicare Counselor in Kingsport, TN