Jonathan Eric Wagner, LPCC in Saint Paul, MN - Medicare Counselor Provider

Jonathan Eric Wagner, LPCC is a medicare enrolled "Counselor - Professional" provider in Saint Paul, Minnesota. His current practice location is 2270 Ford Pkwy Ste 106, Saint Paul, Minnesota. You can reach out to his office (for appointments etc.) via phone at (612) 915-0049.

Jonathan Eric Wagner is licensed to practice in Minnesota (license number 4525) 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 1063006724.

Contact Information

	Jonathan Eric Wagner, LPCC
	2270 Ford Pkwy Ste 106, Saint Paul, MN 55116-3412
	(612) 915-0049
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jonathan Eric Wagner
Gender	Male
Speciality	Counselor - Professional
Location	2270 Ford Pkwy Ste 106, Saint Paul, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063006724
Provider Enumeration Date: 02/23/2021
Last Update Date: 05/01/2025

Medicare PECOS Information:

PECOS PAC ID: 2769909605
Enrollment ID: I20250505002583

Medical Identifiers

Medical identifiers for Jonathan Eric Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063006724	NPI	-	NPPES
02291	Other	MN	STATE OF MINNESOTA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	02291 (Minnesota)	Secondary
101YP2500X	Counselor - Professional	4525 (Minnesota)	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. Jonathan Eric Wagner allows following entities to bill medicare on his behalf.

Entity Name	Family Innovations Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992862783 PECOS PAC ID: 6204178528 Enrollment ID: O20190506002814

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. Jonathan Eric 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
Jonathan Eric Wagner, LPCC 2270 Ford Pkwy Ste 106, Saint Paul, MN 55116-3412 Ph: (612) 915-0049	Jonathan Eric Wagner, LPCC 2270 Ford Pkwy Ste 106, Saint Paul, MN 55116-3412 Ph: (612) 915-0049

Reviews and Comments

Counselor in Saint Paul, MN

Yvette Anderson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 762 Transfer Rd Ste 21, Saint Paul, MN 55114 Phone: 218-355-8978
Miss Kelly Pertzsch, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2265 Como Ave, Saint Paul, MN 55108 Phone: 651-645-5325 Fax: 651-379-6141
Abigail Brown, MA, LADC Counselor Medicare: Medicare Enrolled Practice Location: 1246 University Ave W, Saint Paul, MN 55104 Phone: 651-404-2000
Pang Xiong, Counselor Medicare: Not Enrolled in Medicare Practice Location: 451 Lexington Pkwy N, Saint Paul, MN 55104 Phone: 651-280-2310 Fax: 651-280-3995
Ms. Elizabeth Subramaniam, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 658 Grand Ave, Saint Paul, MN 55105 Phone: 612-920-2030
Kyle Lipinski, MSS, LADC Counselor Medicare: Medicare Enrolled Practice Location: 438 Dorothy Day Pl, Saint Paul, MN 55102 Phone: 651-793-2219
Noah Rector, LICSW, LADC, MED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2353 Rice St, Saint Paul, MN 55113 Phone: 612-979-2683

Jonathan Eric Wagner, LPCC - Medicare Counselor in Saint Paul, MN