Madison Gabrielle Wagner, LMHC, NCC in Estherville, IA

Madison Gabrielle Wagner, LMHC, NCC is a medicare enrolled "Counselor - Mental Health" provider in Estherville, Iowa. Her current practice location is 1820 Central Ave, Estherville, Iowa. You can reach out to her office (for appointments etc.) via phone at (800) 592-0180.

Madison Gabrielle Wagner is licensed to practice in Iowa (license number 093041) 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 1598379752.

Contact Information

	Madison Gabrielle Wagner, LMHC, NCC
	1820 Central Ave, Estherville, IA 51334-2409
	(800) 592-0180
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Madison Gabrielle Wagner
Gender	Female
Speciality	Counselor - Mental Health
Location	1820 Central Ave, Estherville, Iowa
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598379752
Provider Enumeration Date: 09/04/2020
Last Update Date: 02/18/2021

Medicare PECOS Information:

PECOS PAC ID: 2466894175
Enrollment ID: I20240528000730

Medical Identifiers

Medical identifiers for Madison Gabrielle Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598379752	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	093041 (Iowa)	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. Madison Gabrielle Wagner allows following entities to bill medicare on her behalf.

Entity Name	Moxie Nova
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609551787 PECOS PAC ID: 3971046897 Enrollment ID: O20240620001656

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. Madison Gabrielle 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
Madison Gabrielle Wagner, LMHC, NCC Po Box 36, Estherville, IA 51334-0036 Ph: (800) 592-0180	Madison Gabrielle Wagner, LMHC, NCC 1820 Central Ave, Estherville, IA 51334-2409 Ph: (800) 592-0180

Reviews and Comments

Counselor in Estherville, IA

Amy J Nissen, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1820 Central Ave, Estherville, IA 51334 Phone: 800-592-0180 Fax: 712-566-5229
Emili Lair, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1797 340th Ave, Estherville, IA 51334 Phone: 712-357-8742
Amanda Olson, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 508 W Central Ave Ste B, Estherville, IA 51334 Phone: 800-592-0180
Suzan Marie Loverink, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 508 W Central Ave, Ste B, Estherville, IA 51334 Phone: 800-592-0180 Fax: 712-566-5229

Madison Gabrielle Wagner, LMHC, NCC - Medicare Counselor in Estherville, IA