Kendra Anne Wagner, LMHC in Yulee, FL - Medicare Counselor Provider

Kendra Anne Wagner, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Yulee, Florida. Her current practice location is 87010 Professional Way, Yulee, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 376-3800.

Kendra Anne Wagner is licensed to practice in Florida (license number MH17634) 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 1366138406.

Contact Information

	Kendra Anne Wagner, LMHC
	87010 Professional Way, Yulee, FL 32097-3400
	(904) 376-3800
	(904) 390-7403

Map and Direction

Healthcare Provider's Profile

Full Name	Kendra Anne Wagner
Gender	Female
Speciality	Counselor - Mental Health
Location	87010 Professional Way, Yulee, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366138406
Provider Enumeration Date: 04/12/2023
Last Update Date: 04/12/2023

Medicare PECOS Information:

PECOS PAC ID: 0840647525
Enrollment ID: I20231117001329

Medical Identifiers

Medical identifiers for Kendra Anne Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366138406	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	MH17634 (Florida)	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. Kendra Anne Wagner allows following entities to bill medicare on her behalf.

Entity Name	Baptist Behavioral Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215906649 PECOS PAC ID: 7315166394 Enrollment ID: O20140924001767

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. Kendra Anne 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
Kendra Anne Wagner, LMHC Po Box 748519, Atlanta, GA 30374-8519 Ph: (904) 376-3800	Kendra Anne Wagner, LMHC 87010 Professional Way, Yulee, FL 32097-3400 Ph: (904) 376-3800

Reviews and Comments

Counselor in Yulee, FL

Rosa Elena Haslip, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 463142 State Road 200, Yulee, FL 32097 Phone: 904-225-8280 Fax: 904-225-8832
Monique Samantha Moore, Counselor Medicare: Medicare Enrolled Practice Location: 86155 Courtney Isles Way Apt 2301, Yulee, FL 32097 Phone: 267-272-3757
Mrs. Sarah A Smith, MHR Counselor Medicare: Not Enrolled in Medicare Practice Location: 463142 State Road 200, Yulee, FL 32097 Phone: 904-225-8280 Fax: 904-225-8232
Gina Ferens, Counselor Medicare: Not Enrolled in Medicare Practice Location: 463142 State Road 200, Yulee, FL 32097 Phone: 904-225-8280
Joyce Clarice Crews, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 463142 Sr 200, Yulee, FL 32097 Phone: 904-225-8280 Fax: 904-225-8232
Jennifer Ortiz, PSYD Counselor Medicare: Accepting Medicare Assignments Practice Location: 87010 Professional Way, Yulee, FL 32097 Phone: 904-376-3800 Fax: 904-396-8969
Ms. Kyle K Bishop, LCPC, LMHC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 389 Muhly Grass St, Yulee, FL 32097 Phone: 301-481-9823

Kendra Anne Wagner, LMHC - Medicare Counselor in Yulee, FL