Jason Robert Wagner, CMHC in Sandy, UT - Medicare Counselor Provider

Jason Robert Wagner, CMHC is a medicare enrolled "Counselor - Mental Health" provider in Sandy, Utah. His current practice location is 9844 S 1300 E Ste 250, Sandy, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 243-2928.

Jason Robert Wagner is licensed to practice in Utah (license number 7717626-6009) 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 1053700765.

Contact Information

	Jason Robert Wagner, CMHC
	9844 S 1300 E Ste 250, Sandy, UT 84094-4691
	(801) 243-2928
	(801) 609-3649

Map and Direction

Healthcare Provider's Profile

Full Name	Jason Robert Wagner
Gender	Male
Speciality	Counselor - Mental Health
Location	9844 S 1300 E Ste 250, Sandy, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053700765
Provider Enumeration Date: 01/19/2015
Last Update Date: 07/24/2024

Medicare PECOS Information:

PECOS PAC ID: 3870030018
Enrollment ID: I20241029003155

Medical Identifiers

Medical identifiers for Jason Robert Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053700765	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	7717626-6009 (Utah)	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. Jason Robert Wagner allows following entities to bill medicare on his behalf.

Entity Name	Moving Forward Counseling
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811526122 PECOS PAC ID: 8628414786 Enrollment ID: O20240311004019

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. Jason Robert 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
Jason Robert Wagner, CMHC 9844 S 1300 E Ste 250, Sandy, UT 84094-4691 Ph: (801) 243-2928	Jason Robert Wagner, CMHC 9844 S 1300 E Ste 250, Sandy, UT 84094-4691 Ph: (801) 243-2928

Reviews and Comments

Counselor in Sandy, UT

Jacqueline Hyde, Counselor Medicare: Medicare Enrolled Practice Location: 10151 Majestic Canyon Rd, Sandy, UT 84092 Phone: 801-809-5050
Mrs. Sandra Lee Chew, MS, CMHC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 1270 E 8600 S Ste 3, Sandy, UT 84094 Phone: 801-676-9160 Fax: 801-606-2766
David S Bridgeman, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 781 E Autumn Field Dr, Sandy, UT 84094 Phone: 801-633-3928
Mrs. Bonita Gray Kolb, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 8160 Highland Dr, Building A, Sandy, UT 84093 Phone: 801-831-4339
Stephen Beyers, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9192 S 300 W, #19, Sandy, UT 84070 Phone: 801-554-3191 Fax: 801-523-9239
Wendy Meyer, CMHC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9361 S 300 E, Sandy, UT 84070 Phone: 801-826-5000
Catherine Benton, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 8188 Highland Dr, Suite D4, Sandy, UT 84093 Phone: 801-215-9445 Fax: 801-930-5018

Jason Robert Wagner, CMHC - Medicare Counselor in Sandy, UT