Kristin Lynn Wagner, LMHC in Troy, NY - Medicare Counselor Provider

Kristin Lynn Wagner, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Troy, New York. Her current practice location is 2215 Burdett Avenue, Samaritan Campus Behavioral Health, Troy, New York. You can reach out to her office (for appointments etc.) via phone at (518) 271-3554.

Kristin Lynn Wagner is licensed to practice in New York (license number P110131) 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 1477219111.

Contact Information

	Kristin Lynn Wagner, LMHC
	2215 Burdett Avenue, Samaritan Campus Behavioral Health, Troy, NY 12180-2466
	(518) 271-3554
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kristin Lynn Wagner
Gender	Female
Speciality	Counselor - Mental Health
Location	2215 Burdett Avenue, Troy, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477219111
Provider Enumeration Date: 11/16/2021
Last Update Date: 11/16/2021

Medicare PECOS Information:

PECOS PAC ID: 1052834959
Enrollment ID: I20250401002786

Medical Identifiers

Medical identifiers for Kristin Lynn Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477219111	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	P110131 (New York)	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. Kristin Lynn Wagner allows following entities to bill medicare on her behalf.

Entity Name	Professional Medical Concierge Services Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841812310 PECOS PAC ID: 0840614020 Enrollment ID: O20200721002421

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. Kristin Lynn 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
Kristin Lynn Wagner, LMHC Po Box 14890, Albany, NY 12212-4890 Ph: () -	Kristin Lynn Wagner, LMHC 2215 Burdett Avenue, Samaritan Campus Behavioral Health, Troy, NY 12180-2466 Ph: (518) 271-3554

Reviews and Comments

Counselor in Troy, NY

Belinda Peters, CASAC 2 Counselor Medicare: Not Enrolled in Medicare Practice Location: 2435 6th Ave, Troy, NY 12180 Phone: 518-274-5143
Clare Elizabeth Moore Reilly, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2215 Burdett Avenue, Samaritan Behavioral Health, Troy, NY 12180 Phone: 518-833-6470
Taylor Olivia Bouton, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 16 N Greenbush Rd Ste 205, Troy, NY 12180 Phone: 518-323-2826
Leticia Lind, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2435 6th Ave, Troy, NY 12180 Phone: 518-274-5143 Fax: 518-273-1350
Gregory Reid, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 Defreest Dr, Troy, NY 12180 Phone: 518-945-8828
Joanne F Falco, MENTAL HEALTH COUNSE Counselor Medicare: Not Enrolled in Medicare Practice Location: 1600 7th Ave, Troy, NY 12180 Phone: 518-270-2800 Fax: 518-270-2723
Mrs. Judith Lynn Murray, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 16 1st St, Troy, NY 12180 Phone: 518-272-3918 Fax: 518-272-6391

Kristin Lynn Wagner, LMHC - Medicare Counselor in Troy, NY